Active NPI
Michele Leigh Haley, O.D.
- Optometrist
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2001021461
- Practice address
- 323 Monroe St
Jefferson City, MO 65101-3105 - Phone
- (573) 635-1313
- Fax
- (573) 634-8500
- NPI assigned
- Aug 17, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2001021461 | MO | Primary |
Addresses
Primary practice location
323 Monroe St
Jefferson City, MO 65101-3105
Mailing address
211 E Broadway
Alton, IL 62002-6220
Phone (618) 462-9818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315428946 | Medicaid | MO |
Other names 1
- Dr. Michele Leigh Rice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PG Optical LLC | Optometrist | Current | Accepting new patients |
| Paige Hedgpath Odpc | Optometrist | Current | Accepting new patients |
| Paige Hedgpath OD,PC | Optometrist | Current | Accepting new patients |
| Pacific Eye Surgery Center, Inc. | Past | Accepting new patients | |
| Nu-Crown, LLC | Optometrist | Past | Accepting new patients |
| Eugene W M NG MD LLC | Optometrist | Past | Accepting new patients |
| Professional Eye Care Inc | Optometrist | Past | Accepting new patients |
Locations
211 E Broadway
Alton, IL 62002
Phone (314) 787-0681
1400 Forum Blvd
Columbia, MO 65203
Phone (573) 446-0331
1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331
323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313
306 N Bishop Ave
Ste B
Rolla, MO 65401
Phone (573) 426-6779
Organizations & group practices 7
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.
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- Rolla, MO
- NPI 1447950183
-
- Ophthalmologic Surgery Clinic/Center
- Honolulu, HI
- NPI 1134112840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1144333675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E BROADWAY",
"city": "ALTON",
"state": "IL",
"postal_code": "620026220",
"telephone_number": "618-462-9818",
"fax_number": "800-432-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 MONROE ST",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651013105",
"telephone_number": "573-635-1313",
"fax_number": "573-634-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "MICHELE",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2001021461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "315428946",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "RICE",
"middle_name": "LEIGH",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.