TODD ROGER HEBERT (O.D.) – Optometrist, NPI 1295885366

TODD ROGER HEBERT (O.D.) is a healthcare provider. based in San diego, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 10888 (CA). The NPI Number for TODD ROGER HEBERT (O.D.) is 1295885366

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
TODD ROGER HEBERT (O.D.)
NPI
1295885366
Phone
(619) 955-5369
Address
1010 UNIVERSITY AVE STE C109
Enumeration Date
11 January 2007
Last Update Date
19 August 2022

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
7196352020
Graduation Year
1997 (29 years ago)
PAC ID
1254235641
Group Practice PAC ID
1355231051
Professional Enrollment ID
I20221021002519
Address ID
CO809074310CO4430XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for TODD ROGER HEBERT (O.D.)

  • 1010 UNIVERSITY AVE STE C109

    SAN DIEGO, CA 921033353

    Phone: (619) 955-5369

    Fax: (619) 955-5359

    Type: Mailing

  • 4430 N NEVADA AVE

    COLORADO SPRINGS, CO 809074310

    Phone: (719) 635-2020

    Type: Location

  • 111 E 4TH ST STE 440

    ALTON, IL 620026241

    Phone: (618) 462-9818

    Fax: (314) 741-4947

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: CooperVision Inc. ($115).

Total Amount

$189

General + Research + Ownership

Payments

6

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221021002519IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1414$0
92004New patient complete exam of visual system1313$0
View full utilization report →

Insurance plans in this area (ZIP 92103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355231051View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YAZ
O P T O M E T R YCO
O P T O M E T R YTN
O P T O M E T R YFL
-TN
O P T O M E T R YCO
O P T O M E T R YAZ
-CO
O P T O M E T R YCA

Reviews

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Frequently asked questions

Where can patients find TODD ROGER HEBERT (O.D.)'s NPI?
You can confirm TODD ROGER HEBERT (O.D.) with NPI 1295885366; it appears in the national provider directory.
Does this profile mean TODD ROGER HEBERT (O.D.) is currently active?
Yes — TODD ROGER HEBERT (O.D.) appears active in the national provider directory.
What field does TODD ROGER HEBERT (O.D.) work in?
You can think of TODD ROGER HEBERT (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does TODD ROGER HEBERT (O.D.) practice in California?
You will see San Diego, California on file for TODD ROGER HEBERT (O.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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