Meredith Hackley

Primary specialty

OptometristTaxonomy code 152W00000X

License

2471 Issued in NC

Practice address

200 S College St
Charlotte, NC 28202-2012

Phone

(704) 443-4444

NPI assigned

Aug 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Indiana University - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David Wichnoski, O.D. , P.aGroup PAC ID 1052490257, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: meredith.hackley@direct.revolutionehr.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.

• David Wichnoski, O.D. , P.a.

  • Optometrist
  • Charlotte, NC
  • NPI 1114045085
  Medicare reassignment Care Compare group NPD
• David Wichnoksi OD PA

  • Optometrist
  • Charlotte, NC
  • NPI 1013253418
  NPD (past)
• David Wichnoski OD PA

  • Optometrist
  • Mooresville, NC
  • NPI 1548681406
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1043696701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 COLONY RD",
            "address_2": "STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265018",
            "telephone_number": "704-443-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S COLLEGE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022012",
            "telephone_number": "704-443-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLEY",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1896",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas K Habib
• Carlee Collmus Habicht, MS, RD, LDN
• Habitual Roots Inc.
• Kathleen Lucey Hack, MA
• Monica Hackett, LPC
• Lily Hackman, MSW
• Jeremy Michael Hackworth, M.D.
• Michaela Alexis Hadad, FNP-C
• Logan Hadaway, DMD
• Dahlia Y Haddad, RPH

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.