Jared F. Hadlock, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2592 Issued in CO

Practice address

521 Main St
Delta, CO 81416-1817

Phone

(970) 874-8110

Fax

(970) 874-5348

NPI assigned

Jul 2, 2007

Sex

Male

Sole proprietor

No

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 CO

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

Southern College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Juan Eye Centers, PC 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Juan Eye Centers, PC

  • Optometrist
  • Montrose, CO
  • NPI 1124449145

  CO, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• San Juan Eye Centers, PC

  • Optometrist
  • Montrose, CO
  • NPI 1518763606
  NPD
• David M Cale OD PC

  • Optometrist
  • Grand Junction, CO
  • NPI 1215070875
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1356548259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MAIN ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161817",
            "telephone_number": "970-874-8110",
            "fax_number": "970-874-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MAIN ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161817",
            "telephone_number": "970-874-8110",
            "fax_number": "970-874-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLOCK",
        "first_name": "JARED",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara J Greninger, RN
• Andrew Lane Gross, M.D.
• Mary B Grosvenor, RD
• Jenenne M Guffey, CSW
• Shaye Gurrera, COTA
• Christine A Hamilton, CRNA
• Craig Stephen Hammes, M.D.
• Melanie S Hanley, PA-C
• Justin Ian Hanson, DO
• Kimberly Ann Hardman, LMT

• All providers in Delta, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.