Individual provider Active NPI

Scott Haire, O.D.

  • Optometrist
  • Wilmington, NC
National Provider Identifier
1346303153
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1222 Issued in NC
Practice address
3901 Oleander Dr
Wilmington, NC 28403-6733
Phone
(910) 395-2772
Fax
(910) 799-9170
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1276DT KY
Optometrist 152W00000X 1222 NC Primary

Addresses

Primary practice location

3901 Oleander Dr
Wilmington, NC 28403-6733

Mailing address

1000 Bypass N
Lawrenceburg, KY 40342-9462
Phone (502) 839-9381

Other practice location 1

1000 Bypass N
Lawrenceburg, KY 40342-9462
Phone (502) 839-9381

Other names 1

  • Samuel Haire Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050422000580 NC Practitioner - Optometry 8628016235 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southport Eye Care,OD, PLLCGroup PAC ID 5991285264, 3 clinicians
Dr. Christopher J. Moshoures Optometrist PAGroup PAC ID 5193882603, 8 clinicians

Practice addresses (Care Compare)

1620 N Howe St
Southport, NC 28461-8904
Phone (910) 457-9920

208 Smith Ave
Shallotte, NC 28470-4458
Phone (910) 754-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1222NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Mar 18, 2019 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Mar 18, 2019 Accepting new patients
Dr. Christopher J. Moshoures Optometrist PA Optometrist CurrentSince Jul 31, 2019 Accepting new patients
Southport Eye Care OD PLLC Optometrist CurrentSince Mar 11, 2026 Accepting new patients
Dr Polly Hendricks & Associates, LLC Optometrist Past Accepting new patients
Western NC Optometric Group PA Optometrist Past Accepting new patients
Asheville Optometric Group PA Optometrist PastSince Oct 1, 2015 Accepting new patients
Randall C Lambirth II OD & Associates PSC Optometrist Past Accepting new patients

Locations

10195 Beach Dr SW
Calabash, NC 28467
Phone (910) 575-3937

208 Smith Ave
Shallotte, NC 28470
Phone (910) 754-2020

1620 N Howe St
Southport, NC 28461
Phone (910) 457-9920

3901 Oleander Dr
Wilmington, NC 28403
Phone (910) 395-2772

Interoperability endpoints

  • Direct secure messaging: shaire@visionsquare.eyefinity-direct.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1346303153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BYPASS N",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429462",
            "telephone_number": "502-839-9381",
            "fax_number": "502-839-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036733",
            "telephone_number": "910-395-2772",
            "fax_number": "910-799-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Bypass N",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "KY",
            "postal_code": "403429462",
            "country_code": "US",
            "telephone_number": "502-839-9381",
            "fax_number": "502-839-8706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIRE",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1276DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "HAIRE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.