Active NPI
Hayley Eye Clinic, P.C.
- Optometrist
- Wichita Falls, TX
National Provider Identifier
1477094944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HAYLEY EYE CLINIC, P.C.
- Practice address
- 1901 Kemp Blvd
Wichita Falls, TX 76309-3959 - Phone
- (940) 723-2020
- Fax
- (940) 723-6941
- NPI assigned
- Mar 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry L Kirkland, O.D.
- Title
- Optometrist
- Phone
- (940) 723-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1901 Kemp Blvd
Wichita Falls, TX 76309-3959
Mailing address
1901 Kemp Blvd
Wichita Falls, TX 76309-3959
Phone (940) 723-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019359101 | Medicaid | TX |
Other names 1
- Hayley Eye Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502755200000",
"number": "1477094944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763093959",
"telephone_number": "940-723-2020",
"fax_number": "940-723-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763093959",
"telephone_number": "940-723-2020",
"fax_number": "940-723-6941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAYLEY EYE CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-16",
"last_updated": "2017-08-15",
"status": "A",
"authorized_official_last_name": "KIRKLAND",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "940-723-2020",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019359101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hayley Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.