Jessica Haney, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00583900 Issued in NJ

Practice address

413 Germantown Pike
Ste 200
Lafayette Hill, PA 19444-1816

Phone

(610) 825-8210

Fax

(610) 825-8208

NPI assigned

Jun 22, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NJ, PA2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On Site Health Services PCGroup PAC ID 6406806462, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.6 of 100Reported as group

Quality

51.2

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• On Site Health Services PC

  • Optometrist
  • Blue Bell, PA
  • NPI 1720083553

  NJ

  Medicare reassignment Care Compare group NPD
• Ophthalmology Consulting Services, PC

  • Ophthalmology Physician
  • Blue Bell, PA
  • NPI 1831195213
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497751754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 GERMANTOWN PIKE",
            "address_2": "STE 200",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441816",
            "telephone_number": "610-825-8210",
            "fax_number": "610-825-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 GERMANTOWN PIKE",
            "address_2": "STE 200",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441816",
            "telephone_number": "610-825-8210",
            "fax_number": "610-825-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "JESSICA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00583900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004570",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Daniel Griffin Jr., M.D
• Michael James Gumby
• Tara C. Gutgesell, MA, LPC
• Brigitte Gutpelet, L.AC.
• Jennifer Hall, DPT
• Bethany Nicole Harrison, OTA/L
• Victoria Hart, CTRS
• Brett Andrew Hartmann, M.D.
• Michael Hassler, LCSW
• Heal at Home PT & Wellness

• Optometrist in Lafayette Hill, PA
• Providers in Lafayette Hill, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.