Individual provider Active NPI

Haley Elizabeth Puryear, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1518367119
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8452T Issued in TX
Practice address
10740 N Central Expy
Suite 180
Dallas, TX 75231-2161
Phone
(214) 987-2875
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8452T TX Primary

Addresses

Primary practice location

10740 N Central Expy
Suite 180
Dallas, TX 75231-2161

Mailing address

1520 S Broadway St
Suite 180
Sulphur Springs, TX 75482-4922
Phone (214) 987-2875

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
I20150305001624 TX Practitioner - Optometry 5890011076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

508 Texas Hwy 37 S
Mount Vernon, TX 75457-6550
Phone (903) 402-2707

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8452TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Vernon Eye Care & Eyewear Gallery PLLC Optometrist CurrentSince May 20, 2021 Accepting new patients
Dallas Eye and Ear Optical, PLLC Optometrist Past Accepting new patients

Locations

508 Texas Highway 37 S
Mt Vernon, TX 75457
Phone (903) 402-2707

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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1518367119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S BROADWAY ST",
            "address_2": "SUITE 180",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824922",
            "telephone_number": "214-987-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 N CENTRAL EXPY",
            "address_2": "SUITE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312161",
            "telephone_number": "214-987-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURYEAR",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8452T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.