Terri L Haley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100004 Issued in ID

Practice address

514 Oak St
Sandpoint, ID 83864-1480

Phone

(208) 265-7965

Fax

(208) 265-7965

NPI assigned

Aug 11, 2005

Last updated

Dec 4, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID, WA, NM, CO4 enrollments

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 4

Specialty

Optometry

Education

University of Houston - College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Shoptikal LLC

  dba Shopko Optical 4069

  • Eyewear Supplier
  • Coeur d'Alene, ID
  • NPI 1063078442

  Optometrist

  Medicare reassignment Care Compare group NPD
• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1952301129
  Medicare reassignment NPD
• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  Medicare reassignment NPD
• Family First Vision Care Colorado LLC

  • Optometrist
  • Aurora, CO
  • NPI 1952827750
  Medicare reassignment NPD
• Northeastern Washington Eyecare

  dba Colville Vision Source

  • Optometrist
  • Newport, WA
  • NPI 1629638929
  Medicare reassignment NPD
• Raza Uddin OD LLC

  • Optometrist
  • Grand Junction, CO
  • NPI 1992528368
  Medicare reassignment NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Albuquerque, NM
  • NPI 1801960620
  Medicare reassignment NPD
• Yah Vision

  dba Young at Heart Pueblo Kids Vision

  • Optometrist
  • Pueblo, CO
  • NPI 1417461823
  Medicare reassignment NPD
• Hidalgo Medical Services

  dba HMS

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1306843180
  Medicare reassignment
• Mountain Vision Eye Care

  • Optometrist
  • Sandpoint, ID
  • NPI 1225227879
  NPD (past) Authorized official
• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1992919419
  NPD
• Raza Uddin OD LLC

  • Optometrist
  • Cheyenne, WY
  • NPI 1023902061
  NPD

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1114929817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 OAK ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641480",
            "telephone_number": "208-265-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 OAK ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641480",
            "telephone_number": "208-265-7965",
            "fax_number": "208-265-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "TERRI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "V5418",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010137596",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perry E Grey Harper, PSY.D.
• Nichole Suzanne Grimm, NP
• Eleanor Rand Gurley, LCSW
• Mary Gustafik, LPC
• Jane Frances Habermann, MA
• Annette C. Hall, LCSW
• Stephanie Hall, MS, LPC
• Krista N Haller, M.A.
• Allison Halliday
• Halsa Orthopedic Massage LLC

• Optometrist in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.