Hailey E Willis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7875T Issued in TX

Practice address

5200 Wesley St
Greenville, TX 75402-6309

Phone

(903) 455-0294

Fax

(903) 455-2747

NPI assigned

Jul 18, 2011

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Female

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 TX

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

Indiana University - School of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Hailey E Willis, PLLC

  dba Texas Optical Center

  • Optometrist
  • Greenville, TX
  • NPI 1427471515
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1376831842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026309",
            "telephone_number": "903-455-0294",
            "fax_number": "903-455-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026309",
            "telephone_number": "903-455-0294",
            "fax_number": "903-455-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "HAILEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7875T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth J Wiley, FNP
• Lynn Anne Wilkerson, AUD
• Rebecca Tiffany Willeford, FNP
• Herbert Floyd Williams Jr., OD
• Willis Physical Therapy Group PLLC
• James Austin Willis, DPT
• Wilson Sisters, LLC (Marigold ABA Therapy Center of Greenville)
• Adrienne Lynn Wilson, APRN, FNP-C
• Benjamin Scott Wilson, MD
• Winning Physical Medicine and Rehabilitation Programs PLLC

• Optometrist in Greenville, TX
• Providers in Greenville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.