Jeffrey Scot Hackleman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1935 Issued in GA

Practice address

2427 Heritage VLG Ste 4
Snellville, GA 30078-2699

Phone

(770) 978-2020

Fax

(770) 978-1750

NPI assigned

Sep 26, 2005

Last updated

Apr 24, 2018By 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

Medicare fee-for-service enrollment

Enrolled in GA

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

Ohio State University - College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oconee Vision Group, LLCGroup PAC ID 3678876158, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffreyhackelman@direct.eyecare-partners.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.

• Oconee Vision Group, LLC

  • Optometrist
  • Watkinsville, GA
  • NPI 1780049221
  Medicare reassignment Care Compare group NPD Authorized official
• Heritage Vision Center, Inc.

  • Optometrist
  • Snellville, GA
  • NPI 1609920289
  NPD
• Bruce L Hammonds OD PC

  • Optometrist
  • Watkinsville, GA
  • NPI 1689856247
  NPD (past)
• Clarkson Optometry Georgia Inc

  dba Eye Elements

  • Optometrist
  • Braselton, GA
  • NPI 1811087208
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1427044387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 SOUTHWIND DR",
            "city": "BISHOP",
            "state": "GA",
            "postal_code": "306211366",
            "telephone_number": "706-705-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 HERITAGE VLG STE 4",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782699",
            "telephone_number": "770-978-2020",
            "fax_number": "770-978-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLEMAN",
        "first_name": "JEFFREY",
        "middle_name": "SCOT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William D. Haberstroh, D.O.
• Hawabu Bawa Habib
• Habilicare LLC
• Sara Habte
• Helen Habtewold
• James Eugene Haddad Jr., DMD
• Sven Hadzic, LDO
• Benjamin Franklin Haffner, PT, MPT
• Samira Hafsa Belhareth, M.D.
• Tobias Hagins, RBT

• Optometrist in Snellville, GA
• Providers in Snellville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.