Shane Hager, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61449532 Issued in WA

Practice address

2732 E Main
Puyallup, WA 98372-3164

Phone

(253) 770-2732

NPI assigned

May 25, 2023

Last updated

Jun 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santa Elena Hager Eye Care PLLCGroup PAC ID 6204319551, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.38 of 100Reported as group

Quality

78.76

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Santa Elena Hager Eye Care PLLC

  dba Maple Valley Vision Clinic

  • Optometrist
  • Maple Valley, WA
  • NPI 1659230068
  Medicare reassignment Care Compare group NPD
• East Main Vision Clinic LLC

  • Optometrist
  • Puyallup, WA
  • NPI 1518160316
  NPD
• Good Samaritan Community Healthcare

  dba Good Samaritan Clinics

  • Pain Medicine (Anesthesiology) Physician
  • Puyallup, WA
  • NPI 1437102399
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1598457582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "PEMBINA",
            "state": "ND",
            "postal_code": "582710059",
            "telephone_number": "701-520-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723164",
            "telephone_number": "253-770-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61449532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H.S. Walia DDS Fagd & Kunal Walia DDS PS (Dr. Happy Smiles)
• Leonard M Haan
• Fikru Habte
• Abigail G Haegele
• Jamie Lynn Hagen, M.S. CCC-SLP
• Heidi M Haggin
• Moani-Lehua Hagiwara, PHARMD
• Breyan Haizlip, PHD, LPC
• Leslee Diane Halbert
• Aaron Hall, PT

• Optometrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.