Provider Demographics
NPI:1396129961
Name:HUBBARD, CADY JO (OD)
Entity type:Individual
Prefix:DR
First Name:CADY
Middle Name:JO
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CADY
Other - Middle Name:JO
Other - Last Name:ROUZEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:313 W 38TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-4770
Mailing Address - Country:US
Mailing Address - Phone:308-635-0800
Mailing Address - Fax:308-635-0899
Practice Address - Street 1:313 W 38TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-4770
Practice Address - Country:US
Practice Address - Phone:308-635-0800
Practice Address - Fax:308-635-0899
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1443152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist