Michael J Haynes, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

891-26T Issued in LA

Practice address

2808 Forsythe Ave
Monroe, LA 71201-3008

Phone

(318) 323-4994

Fax

(318) 388-6913

NPI assigned

May 23, 2005

Last updated

Apr 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 LA2 enrollments

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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dr. Michael J. Haynes a Professional Corporation

  • Optometrist
  • Monroe, LA
  • NPI 1700059656

  O20100930097818

  Same enrollment

Specialty

Optometry

Education

Southern College of Optometry, 1981

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. Michael J. Haynes a Professional Corporation

  • Optometrist
  • Monroe, LA
  • NPI 1700059656
  Medicare reassignment NPD Authorized official
• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1407859440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013008",
            "telephone_number": "318-323-4994",
            "fax_number": "318-388-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013008",
            "telephone_number": "318-323-4994",
            "fax_number": "318-388-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "891-26T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326879",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kishona Hayes
• Latoya Hayes
• Sarah Lynne Hayes, M.A. CCC/SLP
• Abigail Haygood, SLPA
• Kevin P Haynes, DDS
• Michael T Hayward Sr., MD
• Vanessa Haywood
• Patsy Head
• Lousie Heads
• Healing Haven Counseling

• Optometrist in Monroe, LA
• Providers in Monroe, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.