Individual provider Active NPI

Michael Joseph Haines, O.D.

  • Optometrist
  • Smithfield, NC
National Provider Identifier
1518906346
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1161 Issued in NC
Practice address
1317 N Brightleaf Blvd
Suite D
Smithfield, NC 27577-7267
Phone
(919) 934-2020
Fax
(919) 934-7370
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1161 NC Primary

Addresses

Primary practice location

1317 N Brightleaf Blvd
Suite D
Smithfield, NC 27577-7267

Mailing address

1317 N Brightleaf Blvd
Suite D
Smithfield, NC 27577-7267
Phone (919) 934-2020

Other identifiers 2

IdentifierTypeStateIssuer
09350OtherBCBS
8909350MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101018001044 NC Practitioner - Optometry 6709996580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1319 N Brightleaf Blvd
Suite E
Smithfield, NC 27577-4876

1319 N Brightleaf Blvd
Suite E
Smithfield, NC 27577-7259
Phone (919) 934-2020

1319 N Brightleaf Blvd E
Smithfield, NC 27577-4876

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as individual
Quality
93.02
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1161NCMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smithfield Eye Associates Optometry Optometrist CurrentSince Mar 24, 1986 Accepting new patients

Locations

1319 N Brightleaf Blvd
Ste E
Smithfield, NC 27577
Phone (910) 934-2020

1317 N Brightleaf Blvd
Ste D
Smithfield, NC 27577
Phone (919) 734-8440

Interoperability endpoints

  • Direct secure messaging: mjheyes@hainesvisioncare.eyefinity-direct.com

Organizations & group practices 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1518906346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N BRIGHTLEAF BLVD",
            "address_2": "SUITE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777267",
            "telephone_number": "919-934-2020",
            "fax_number": "919-934-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N BRIGHTLEAF BLVD",
            "address_2": "SUITE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777267",
            "telephone_number": "919-934-2020",
            "fax_number": "919-934-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09350",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909350",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.