Individual provider Active NPI

David J Hasson, OD

  • Corneal and Contact Management Optometrist
  • Concord, NC
National Provider Identifier
1154501419
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2062 Issued in NC
Practice address
201 Lephillip Court, NE
Concord, NC 28025-2900
Phone
(704) 782-1127
Fax
(704) 782-1207
NPI assigned
Nov 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2062 NC
Corneal and Contact Management Optometrist 152WC0802X 2062 NC Primary

Addresses

Primary practice location

201 Lephillip Court, NE
Concord, NC 28025-2900

Mailing address

201 Lephillip Court, NE
Concord, NC 28025-2900
Phone (704) 782-1127

Other identifiers 1

IdentifierTypeStateIssuer
2062OtherNCNC STATE LICENSE

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
I20080226000836 NC Practitioner - Optometry 7618051889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cabarrus Eye Center PAGroup PAC ID 5991735706, 11 clinicians

Practice addresses (Care Compare)

201 Le Phillip CT NE
Concord, NC 28025-2900
Phone (704) 782-1127

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2062NCMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Eye Center PA Optometrist CurrentSince Dec 1, 2007 Accepting new patients
Eye Surgery and Laser Clinic, Inc. PastSince Dec 1, 2007 Accepting new patients
Cabarrus Eye Center, PA Past Accepting new patients

Locations

201 Le Phillip Ct NE
Concord, NC 28025
Phone (704) 782-1127

Organizations & group practices 3

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1154501419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LEPHILLIP COURT, NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252900",
            "telephone_number": "704-782-1127",
            "fax_number": "704-782-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LEPHILLIP COURT, NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252900",
            "telephone_number": "704-782-1127",
            "fax_number": "704-782-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSON",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2062",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE",
            "identifier": "2062",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.