Individual provider Active NPI

Becky Sue Haley, O.D.

  • Optometrist
  • Fort Morgan, CO
National Provider Identifier
1407908767
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 1459 Issued in CO
Practice address
231 Prospect St Ste B
Fort Morgan, CO 80701-3160
Phone
(970) 867-3937
Fax
(970) 867-3037
NPI assigned
Jan 17, 2007
Last updated
Dec 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 1459 CO Primary

Addresses

Primary practice location

231 Prospect St Ste B
Fort Morgan, CO 80701-3160

Mailing address

920 Meng Dr
Fort Morgan, CO 80701-3858
Phone (970) 867-9299

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101111000994 CO Practitioner - Optometry 4082809330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Douglas C Kiefer and Associates PCGroup PAC ID 9537145438, 4 clinicians

Practice addresses (Care Compare)

5943 Sky Pond Dr
Unit E100
Loveland, CO 80538-9026
Phone (970) 667-1866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1459COMDMental Health Counselor
OPT 1459COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zoey K. Loomis, O.D., P.C. Optometrist CurrentSince Jul 11, 2010 Accepting new patients
Dr Douglas C Kiefer & Associates PC. Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Platte Valley Hearing Center, Inc. PastSince Nov 5, 2013 Accepting new patients
Wiarda Optometry, PLLC Optometrist PastSince Mar 17, 2024 Accepting new patients

Locations

529 Saunders Rd
Fort Morgan, CO 80701
Phone (970) 867-3937

231 Prospect St
Ste B
Fort Morgan, CO 80701
Phone (970) 867-3937

5943 Sky Pond Dr
Unit E100
Loveland, CO 80538
Phone (970) 667-0123

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1407908767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MENG DR",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013858",
            "telephone_number": "970-867-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 PROSPECT ST STE B",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013160",
            "telephone_number": "970-867-3937",
            "fax_number": "970-867-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "BECKY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT 1459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

Verify at the official NPI Registry.