Ryan Edward Hazlehurst, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8752 Issued in TX

Practice address

1200 E Eldorado Pkwy # 100
Little Elm, TX 75068-5582

Phone

(972) 292-0900

Fax

(972) 292-0908

NPI assigned

Jul 22, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gailey Eye Clinic, LTDGroup PAC ID 2769469337, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135

Merit-based Incentive Payment System (MIPS)

Final score

83.19 of 100Reported as group

Quality

99.36

Improvement activities

40

Cost

44.82

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• IL PPO Downstate
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IL HMO C-SNP
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

• Direct secure messaging: ryan.hazlehurst.p1@direct.gec.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gailey Eye Clinic, LTD

  • Ophthalmic Technician/Technologist
  • Forsyth, IL
  • NPI 1184829814
  Medicare reassignment Care Compare group NPD
• Gailey Eye Clinic, LTD

  • Ophthalmic Technician/Technologist
  • Peoria, IL
  • NPI 1275738908
  NPD
• Gailey Eye Clinic, LTD

  • Ophthalmic Technician/Technologist
  • Bloomington, IL
  • NPI 1932156445
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1548357973
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1003291873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E ELDORADO PKWY # 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685582",
            "telephone_number": "972-292-0900",
            "fax_number": "972-292-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E ELDORADO PKWY # 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685582",
            "telephone_number": "972-292-0900",
            "fax_number": "972-292-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLEHURST",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Gutierrez, DC
• Chomba Hansende, FNP-C
• Linda Lee Harris, AGNP
• Darren Harrison, PT
• Ny'Kiel Ri'Shaun Hayden, MSN, APRN, FNP-BC
• Ashlee Marie Henderson, FNP
• Hendure Inc
• Alexandria Hering, FNP-BC
• Chelsea Herron
• Austin Hester

• Optometrist in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.