Active NPI
Robert C. Hayes, OD
- Optometrist
- Chelsea, AL
National Provider Identifier
1467431890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-683-TA-175
- Practice address
- 16233 Highway 280
Suite C
Chelsea, AL 35043-8301 - Phone
- (205) 678-2020
- Fax
- (205) 678-2021
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-683-TA-175 | AL | Primary |
Addresses
Primary practice location
16233 Highway 280
Suite C
Chelsea, AL 35043-8301
Mailing address
PO Box 376
Chelsea, AL 35043-0376
Phone (205) 678-2020
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2210080 | Other | AL | UNITED HEALTHCARE |
| OT41014 | Other | AL | MEDICARE COMPLETE |
| 924628 | Other | AL | BLOCK VISION PROVIDER NUM |
| 1019620001 | Other | AL | PALMETTO GOVERNMENT |
| 58430 | Other | AL | BLUE CROSS BLUE SHEILD |
| 00058430 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051209000012 | AL | Practitioner - Optometry | 4880615574 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-683-TA-175 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Invision Ophthalmology P.C. | Past | Accepting new patients | |
| Invision Ophthalmology P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Vestavia, AL
- NPI 1063730596
-
- Ambulatory Surgical Clinic/Center
- Vestavia, AL
- NPI 1982055638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1467431890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 376",
"city": "CHELSEA",
"state": "AL",
"postal_code": "350430376",
"telephone_number": "205-678-2020",
"fax_number": "205-678-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16233 HIGHWAY 280",
"address_2": "SUITE C",
"city": "CHELSEA",
"state": "AL",
"postal_code": "350438301",
"telephone_number": "205-678-2020",
"fax_number": "205-678-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "ROBERT",
"middle_name": "C.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-683-TA-175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2210080",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE COMPLETE",
"identifier": "OT41014",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION PROVIDER NUM",
"identifier": "924628",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GOVERNMENT",
"identifier": "1019620001",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "58430",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00058430",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chelsea, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.