John William Hallisey, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G25366 Issued in CA

Practice address

1270 Peach St
San Luis Obispo, CA 93401-2856

Phone

(805) 541-1342

Fax

(805) 541-5836

NPI assigned

Jan 5, 2007

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 CA

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

University of California, Davis School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Limberg Eye Surgery a Medical CorporationGroup PAC ID 4688661747, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Limberg Eye Surgery a Medical Corporation

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1952459265
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467500686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 PEACH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012856",
            "telephone_number": "805-541-1342",
            "fax_number": "805-541-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 PEACH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012856",
            "telephone_number": "805-541-1342",
            "fax_number": "805-541-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLISEY",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G25366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G253660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Alexandra Hall
• Leonard Buckridge Hall, PT
• Megan Hall
• Stephan Hall, PHARM.D
• Zoe Hall
• Mehta Halstead, RN
• David Halverstadt, D.C.
• Lindsey Olivia Hamill
• Michelle Thomas Hamilton, L.AC., C.M.T.
• Victoria Christine Hamilton, ACSW

• Ophthalmology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.