Gary L Hanley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV003649-1 Issued in NY

Practice address

64 West St
Malone, NY 12953-1118

Phone

(518) 483-7222

Fax

(518) 483-7288

NPI assigned

Feb 7, 2006

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 NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Malone Eye Care

  • Eyewear Supplier
  • Malone, NY
  • NPI 1871749713
  NPD (past) Authorized official
• Surgical Eye Care PLLC

  • Ophthalmology Physician
  • Saranac Lake, NY
  • NPI 1841410495
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508838012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 WEST ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531118",
            "telephone_number": "518-483-7222",
            "fax_number": "518-483-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 WEST ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531118",
            "telephone_number": "518-483-7222",
            "fax_number": "518-483-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003649-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00603883",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Groebler, PMHNP
• Rahul Gupta, MBBS,MS,DNB
• Mohammad-Kazem Habibi-Tanha, DMD
• Marie Haggarty, PA
• Sean Hance
• Nikki L Hanley
• Tana Hanley, MA, CCC/SLP
• Janel Lynne Hanna
• Mark Gregory Harmon
• Joyce Ann Harper, LPN

• Optometrist in Malone, NY
• Providers in Malone, NY by specialty
• Optometrist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.