Individual provider Active NPI

Shelly R Hayes, O.D.

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1275537771
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
060100237 Issued in VA
Practice address
12 Chatham Heights Rd
Suite 100
Fredericksburg, VA 22405-2566
Phone
(540) 371-2777
Fax
(540) 371-0922
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 060100237 VA Primary

Addresses

Primary practice location

12 Chatham Heights Rd
Suite 100
Fredericksburg, VA 22405-2566

Mailing address

12 Chatham Heights Rd
Suite 100
Fredericksburg, VA 22405-2566
Phone (540) 371-2777

Other identifiers 1

IdentifierTypeStateIssuer
010005973MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100427000585 VA Practitioner - Optometry 5193852952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12 Chatham Heights Rd
Suite 100
Fredericksburg, VA 22405-2593
Phone (800) 572-2722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060100237VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Innovation Centers of Virginia LLC CurrentSince Jan 31, 2022 Accepting new patients
Vision Innovation Centers of Virginia LLC Optometrist CurrentSince Jan 31, 2022 Accepting new patients

Locations

2661 Riva Rd
Ste 1030
Annapolis, MD 21401

12 Chatham Heights Rd
Fredericksburg, VA 22405
Phone (540) 371-5349

12 Chatham Heights Rd
Ste 100
Fredericksburg, VA 22405
Phone (540) 370-4310

450 Garrisonville Rd
Ste 107
Stafford, VA 22554
Phone (540) 371-2777

Interoperability endpoints

  • Direct secure messaging: shelly.hayes@vip.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1275537771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHATHAM HEIGHTS RD",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052566",
            "telephone_number": "540-371-2777",
            "fax_number": "540-371-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHATHAM HEIGHTS RD",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052566",
            "telephone_number": "540-371-2777",
            "fax_number": "540-371-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "SHELLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "060100237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010005973",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.