Individual provider Active NPI

Paul G Hayter, O.D.

  • Optometrist
  • Irving, TX
National Provider Identifier
1477528875
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005617TG Issued in TX
Practice address
3341 Regent Blvd Ste 120
Irving, TX 75063-3131
Phone
(972) 910-8829
Fax
(972) 910-8778
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005617TG TX Primary

Addresses

Primary practice location

3341 Regent Blvd Ste 120
Irving, TX 75063-3131

Mailing address

3341 Regent Blvd Ste 120
Irving, TX 75063-3131
Phone (972) 910-8829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060127000733 TX Practitioner - Optometry 7214910280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Paul G. Hayter, O.D., P.C.Group PAC ID 6608891858, 2 clinicians

Practice addresses (Care Compare)

3341 Regent Blvd
Suite 120
Irving, TX 75063-3131
Phone (972) 910-8829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005617TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul G. Hayter, O.D., P.C. Optometrist CurrentSince Sep 17, 1999 Accepting new patients
Anthony Chapman OD, PA Optometrist CurrentSince Feb 16, 2021 Accepting new patients

Locations

5706 E Mockingbird Ln
Ste 190
Dallas, TX 75206
Phone (214) 912-0698

7805 N MacArthur Blvd
Ste 101
Irving, TX 75063
Phone (214) 496-0839

3341 Regent Blvd
Ste 120
Irving, TX 75063
Phone (972) 910-8829

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.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1477528875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 REGENT BLVD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633131",
            "telephone_number": "972-910-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 REGENT BLVD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633131",
            "telephone_number": "972-910-8829",
            "fax_number": "972-910-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYTER",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "005617TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.