Jaime Hazen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

340T Issued in WY

Practice address

404 9TH St
Wheatland, WY 82201-2910

Phone

(307) 322-9747

NPI assigned

Aug 28, 2012

Last updated

May 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jaime Balzan Former name

Medicare fee-for-service enrollment

Enrolled in WY

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

Pacific University - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.73 of 100Reported as individual

Quality

77.47

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drhazen@direct.revolutionehr.com

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.

• Mud Springs Vision Clinic, Inc.

  • Optometrist
  • Wheatland, WY
  • NPI 1043554686
  Medicare reassignment NPD Authorized official
• Halsey, P.C.

  dba David J. Halsey, O.D.

  • Optometrist
  • Wheatland, WY
  • NPI 1437315785
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1164770988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 9TH ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822012910",
            "telephone_number": "307-322-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 9TH ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822012910",
            "telephone_number": "307-322-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "340T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164770988",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "BALZAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David J Halsey, O.D.
• Halsey, P.C. (David J. Halsey, O.D.)
• Rebecca Hampton
• Hand and Physical Therapy of Wyoming Limited Partnership
• M Leanne Harper, MA LPC 848
• Dawn Michelle Hennigan, LPCC, LPC
• Teresa Hernandez, MSW
• Tanda Elizabeth Hicks, FNP
• April Renae Hill
• Melody Hoff

• Optometrist in Wheatland, WY
• Providers in Wheatland, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.