Carlton Marshall Haley, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

390200000X Issued in TX

Practice address

1626 Forest LN S
Suite B
Garland, TX 75042-7961

Phone

(972) 272-5591

Fax

(972) 276-5413

NPI assigned

Jan 5, 2007

Last updated

Jul 21, 2020By the provider in NPPES

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

Electronic endpoints 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garland Eye Associates, P.a.Group PAC ID 4981687100, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carltonhaley@garlandeye.imwdirect.com
• Direct secure messaging: chaley@garlandeye.imwdirect.com

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.

• Garland Eye Associates, P.a.

  • Ophthalmology Physician
  • Garland, TX
  • NPI 1811031768
  Medicare reassignment Care Compare group NPD
• Garland Eye Associates, P.a.

  • Ophthalmology Physician
  • Garland, TX
  • NPI 1508656562
  NPD
• William L Phelps

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1912197450
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1407903784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 FOREST LN S STE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427943",
            "telephone_number": "972-272-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 FOREST LN S",
            "address_2": "SUITE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427961",
            "telephone_number": "972-272-5591",
            "fax_number": "972-276-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "CARLTON",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chaley@garlandeye.imwdirect.com",
            "affiliation": "N",
            "address_1": "1626 Forest Ln S",
            "address_2": "Suite B",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750427961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Haider Health Services PLLC
• Etsub Negussie Haileselassie
• Bridget Annabess Hale, M.S. CCC-SLP
• Lauren Hale, RN
• Austin Haley
• John Marshall Haley, M.D.
• Andrea Gayle Hall
• Aimee Halloran, MS, LPC, CRC, BCN
• Jasmine J Halton, LMT
• Hamada Healing Center

• Ophthalmology Physician in Garland, TX
• Providers in Garland, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.