Individual provider Active NPI

Robert O Hatfield, OD

  • Optometrist
  • Dodge City, KS
National Provider Identifier
1104922020
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1397 Issued in KS
Practice address
2520 N 14TH Ave
Dodge City, KS 67801-2315
Phone
(620) 227-3071
Fax
(620) 227-6911
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1397 KS Primary

Addresses

Primary practice location

2520 N 14TH Ave
Dodge City, KS 67801-2315

Mailing address

2520 N 14TH Ave
Dodge City, KS 67801-2315
Phone (620) 227-3071

Other identifiers 2

IdentifierTypeStateIssuer
100219900AMedicaidKS
410024032OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050502000511 KS Practitioner - Optometry 3476592189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idocs of Dodge City PAGroup PAC ID 9830152578, 5 clinicians

Practice addresses (Care Compare)

2520 N 14TH Ave
Dodge City, KS 67801-2315
Phone (620) 227-3071

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.64
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Idocs of Dodge City, PA Optometrist CurrentSince Sep 20, 1993 Accepting new patients

Locations

2520 N 14th Ave
Dodge City, KS 67801
Phone (620) 227-3071

Interoperability endpoints

  • Direct secure messaging: drh@idocsdodgecity.eyefinity-direct.com

Organizations & group practices 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1104922020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 N 14TH AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012315",
            "telephone_number": "620-227-3071",
            "fax_number": "620-227-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N 14TH AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012315",
            "telephone_number": "620-227-3071",
            "fax_number": "620-227-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "ROBERT",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219900A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410024032",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.