Individual provider Active NPI

Lacie Richelle Hale-Conard, OD

  • Optometrist
  • Joplin, MO
National Provider Identifier
1548799307
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2017017164 Issued in MO
Practice address
2722 S Main St
Joplin, MO 64804-2635
Phone
(620) 674-1940
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 2017017164 MO Primary

Addresses

Primary practice location

2722 S Main St
Joplin, MO 64804-2635

Mailing address

2722 S. Main St.
Suite a
Joplin, MO 64804
Phone (417) 726-9137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170614001618 MO Practitioner - Optometry 4183992217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2722 S Main St
Apt a
Joplin, MO 64804-2600
Phone (417) 726-9137

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stilley Eye Associates, P.C. Optometrist CurrentSince Nov 12, 2018 Accepting new patients
Lazenby Optometry Associates Inc Optometrist CurrentSince Nov 12, 2018 Accepting new patients
Hale Vision LLC Optometrist CurrentSince Apr 26, 2022 Accepting new patients
Sjmgroup PastSince Jun 9, 2017 Accepting new patients

Locations

2722 S Main St
Apt A
Joplin, MO 64804
Phone (417) 437-3244

2722 S Main St
Joplin, MO 64804
Phone (620) 674-1940

2318 E 32nd St
Ste A
Joplin, MO 64804
Phone (417) 206-0399

Interoperability endpoints

  • Direct secure messaging: drhale@halevision.direct.eyemdemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1548799307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 S. MAIN ST.",
            "address_2": "SUITE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-726-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 S MAIN ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042635",
            "telephone_number": "620-674-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE-CONARD",
        "first_name": "LACIE",
        "middle_name": "RICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2017017164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.