Individual provider Active NPI

Michele Leigh Haley, O.D.

  • Optometrist
  • Jefferson City, MO
National Provider Identifier
1144333675
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2001021461 Issued in MO
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
315428946MedicaidMO

Other names 1

  • Dr. Michele Leigh Rice Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041007000574 MO Practitioner - Optometry 8426033531 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PG Optical LLC Optometrist CurrentSince Apr 1, 2023 Accepting new patients
Paige Hedgpath Odpc Optometrist CurrentSince May 9, 2016 Accepting new patients
Paige Hedgpath OD,PC Optometrist CurrentSince May 9, 2016 Accepting new patients
Pacific Eye Surgery Center, Inc. PastSince Jul 15, 2002 Accepting new patients
Nu-Crown, LLC Optometrist Past Accepting new patients
Eugene W M NG MD LLC Optometrist PastSince Jun 1, 2025 Accepting new patients
Professional Eye Care Inc Optometrist PastSince Jan 22, 2023 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.

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

Verify at the official NPI Registry.