Individual
KRISTOPHER THOMAS HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
515 NIOBRARA AVE, ALLIANCE, NE 69301-3421
(308) 762-3124
(308) 762-7326
Mailing address
PO BOX 490, ALLIANCE, NE 69301-0490
(308) 762-3124
(308) 762-7326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1321
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06748
BLUE CROSS BLUE SHIELD
NE
01
—
134259627
RAILROAD MEDICARE GA
NE
Enumeration date
07/02/2009
Last updated
02/04/2015
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