Brian M Hales, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004640 Issued in MI

Practice address

1520 N McEwan St # B
Clare, MI 48617-1196

Phone

(989) 386-2020

Fax

(989) 386-7308

NPI assigned

Jul 11, 2011

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Mid Michigan Family Eye Care PLLC

  • Optometrist
  • Clare, MI
  • NPI 1902152762

  MI, Optometrist

  Medicare reassignment NPD Authorized official
• Mid Michigan Family Eye Care PLLC

  • Optometrist
  • Beaverton, MI
  • NPI 1356698534
  NPD Authorized official

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1154619286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N MCEWAN ST # B",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171196",
            "telephone_number": "989-386-2020",
            "fax_number": "989-386-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N MCEWAN ST # B",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171196",
            "telephone_number": "989-386-2020",
            "fax_number": "989-386-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALES",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF MICHIGAN",
            "identifier": "0A80041",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154619286",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01126593",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Groves, CRNA
• Pankaj Guglani, MD
• Lamar Dean Gunden
• Jessica Katherine Gust, PA
• James Joseph Haines, DDS
• Allison Haley
• Melissa Lynn Hamilton, CPHT
• Brenda Lynn Harshman, DO
• Emily Hebert
• Kristin Heintz, DC

• All providers in Clare, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.