Individual provider Active NPI

Patrick Hall, OD

  • Optometrist
  • Gettysburg, PA
National Provider Identifier
1558085654
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003956 Issued in PA
Practice address
408 E Middle St
Gettysburg, PA 17325-1926
Phone
(717) 337-0707
Fax
(717) 549-3306
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003956 PA Primary

Addresses

Primary practice location

408 E Middle St
Gettysburg, PA 17325-1926

Mailing address

408 E Middle St
Gettysburg, PA 17325-1926
Phone (301) 401-3579

Other practice location 1

1000 Carlisle St Ste 1280
Hanover, PA 17331-1121
Phone (717) 637-4944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230918000049 PA Practitioner - Optometry 3375907843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

408 E Middle St
Gettysburg, PA 17325-1926
Phone (717) 337-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gettysburg Eye Care PC Optometrist CurrentSince Dec 9, 2024 Accepting new patients
Hall Eye Care PLLC Optometrist Current Accepting new patients
West Point Optical Group Optometrist PastSince Oct 1, 2022 Accepting new patients

Locations

408 E Middle St
Gettysburg, PA 17325
Phone (717) 337-0707

Organizations & group practices 3

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1558085654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E MIDDLE ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173251926",
            "telephone_number": "301-401-3579",
            "fax_number": "717-549-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E MIDDLE ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173251926",
            "telephone_number": "717-337-0707",
            "fax_number": "717-549-3306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Carlisle St Ste 1280",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173311121",
            "country_code": "US",
            "telephone_number": "717-637-4944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.