Active NPI
Michael Kent Haskett, OD
- Optometrist
- South Boston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000062
- Practice address
- 2047 Hamilton Blvd
South Boston, VA 24592-2141 - Phone
- (434) 572-9733
- Fax
- (434) 572-9736
- NPI assigned
- Oct 18, 2005
- Last updated
- Jul 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000062 | VA | Primary |
Addresses
Primary practice location
2047 Hamilton Blvd
South Boston, VA 24592-2141
Mailing address
2047 Hamilton Blvd
South Boston, VA 24592-2141
Phone (434) 572-9733
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009206019 | Medicaid | VA | |
| 063596 | Other | VA | BLUE CROSS BLUE SHIELD |
| 410038621 | Other | VA | RAILROAD MEDICARE |
| 0180770001 | Other | VA | CIGNA HEALTHCARE DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12090 Jefferson Ave
Suite 1010
Newport News, VA 23606-4566
Phone (757) 249-4330
422 Oriana Rd
Newport News, VA 23608-3733
Phone (757) 875-0675
44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone (571) 385-4600
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.89 of 100
- Quality
- 90.46
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000062 | VA | MD | Optometrist |
| 1274 | VA | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Virginia PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Ezephysical Therapy LLC | Past | Accepting new patients |
Locations
44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600
12090 Jefferson Ave
Ste 1010
Newport News, VA 23606
Phone (757) 249-0737
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
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.
-
- Optometrist
- South Boston, VA
- NPI 1821088923
-
- Optometrist
- North Chesterfield, VA
- NPI 1932075983
-
- Physical Therapist
- Chase City, VA
- NPI 1477047280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1215926647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 HAMILTON BLVD",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245922141",
"telephone_number": "434-572-9733",
"fax_number": "434-572-9736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 HAMILTON BLVD",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245922141",
"telephone_number": "434-572-9733",
"fax_number": "434-572-9736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKETT",
"first_name": "MICHAEL",
"middle_name": "KENT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009206019",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "063596",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410038621",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE DMERC",
"identifier": "0180770001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.