James D Hagen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

FL1745 Issued in FL

Practice address

12979 SW 112TH St
Miami, FL 33186-4769

Phone

(305) 386-3937

Fax

(305) 386-1494

NPI assigned

Jan 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James D Hagen OD PAGroup PAC ID 3577460005, 2 clinicians

Practice addresses (Care Compare)

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.

• James D Hagen OD PA

  • Optometrist
  • Miami, FL
  • NPI 1942483144
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1396723219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12979 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864769",
            "telephone_number": "305-386-3937",
            "fax_number": "305-386-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12979 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864769",
            "telephone_number": "305-386-3937",
            "fax_number": "305-386-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL1745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078357900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fathiya Hafidh, LMHC
• Robert J Hafner, MHC
• Veronica Ann Hagan, MD
• Barbara Hage
• Annie Hagen
• Ronald M Hagen, DDS
• Brian Edward Hagenlocker, MD
• Azin Haghighi, DMD
• Danielle Alexis Hahn
• Nathasha Cole Hahn, PHD

• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.