Individual provider Active NPI

Paul Denis Hayes, O.D.

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1053397968
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0965 Issued in NC
Practice address
4905 Green Rd Ste 107B
Raleigh, NC 27616-2805
Phone
(919) 877-9300
Fax
(919) 877-9335
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 0965 NC
Optometrist 152W00000X 0965 NC Primary

Addresses

Primary practice location

4905 Green Rd Ste 107B
Raleigh, NC 27616-2805

Mailing address

7016 Harps Mill Rd
Suite 103
Raleigh, NC 27615-3243
Phone (919) 847-6889

Other practice location 1

7016 Harps Mill Rd
Suite 103
Raleigh, NC 27615-3243
Phone (919) 847-6889

Other practice location 2

229 Crossroads Blvd
Cary, NC 27518-6893
Phone (919) 233-8500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120508000005 NC Practitioner - Optometry 1850405176 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0965NCMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric J. Oberdorf, O.D., P.a. Optometrist CurrentSince Jun 13, 2022 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Sep 26, 2022 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Jan 2, 2019 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Jan 2, 2019 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Sep 26, 2022 Accepting new patients

Locations

229 Crossroads Blvd
Cary, NC 27518
Phone (919) 233-8500

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

7020 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-5957

7200 Creedmoor Rd
Ste 100
Raleigh, NC 27613
Phone (919) 847-9751

4325 Glenwood Ave
Ste F
Raleigh, NC 27612
Phone (919) 786-0141

4905 Green Rd
Ste 107B
Raleigh, NC 27616
Phone (919) 877-9300

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: paulhayes@direct.eyecare-partners.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1053397968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 HARPS MILL RD",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153243",
            "telephone_number": "919-847-6889",
            "fax_number": "919-847-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 GREEN RD STE 107B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162805",
            "telephone_number": "919-877-9300",
            "fax_number": "919-877-9335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7016 Harps Mill Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276153243",
            "country_code": "US",
            "telephone_number": "919-847-6889",
            "fax_number": "919-847-2441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "229 Crossroads Blvd",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275186893",
            "country_code": "US",
            "telephone_number": "919-233-8500",
            "fax_number": "919-233-9783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "PAUL",
        "middle_name": "DENIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "0965",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.