Davis Charles Haire Sr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000952 Issued in PA

Practice address

10 Trieble Dr
Suite #3
Tunkhannock, PA 18657-7025

Phone

(570) 836-2020

Fax

(570) 836-5501

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirsten A Jervis, O.D.

  • Optometrist
  • Tunkhannock, PA
  • NPI 1265474530
  Medicare reassignment
• Michael Joseph Chermak, OD

  • Optometrist
  • Tampa, FL
  • NPI 1659094415

  PA

  Medicare reassignment

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.

• Davis C Haire

  • Optometrist
  • Tunkhannock, PA
  • NPI 1598139164
  NPD Authorized official
• Davis C. Haire, OD

  • Optometrist
  • Tunkhannock, PA
  • NPI 1508169848
  NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1184788267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TRIEBLE DR",
            "address_2": "SUITE #3",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577025",
            "telephone_number": "570-836-2020",
            "fax_number": "570-836-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TRIEBLE DR",
            "address_2": "SUITE #3",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577025",
            "telephone_number": "570-836-2020",
            "fax_number": "570-836-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRE",
        "first_name": "DAVIS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geordee P Grable
• Rebecca Grimaud-Chilson, M.D.
• Guthrie Clinc, LTD.
• Guthrie Health
• Guthrie Medical Group, P.C,
• Sherry A Harvey, CRNA
• Paul J Herbener, D.C.
• Gerard J Hildebrand, OD
• Emily Hotaling
• Donald F Hull III, MD

• Optometrist in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.