Active NPI
Chauncey B Haley, O.D.
- Optometrist
- Sedalia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2003019276
- Practice address
- 305 W Main St
Sedalia, MO 65301-3821 - Phone
- (660) 310-0909
- Fax
- (888) 979-8868
- NPI assigned
- Jul 26, 2006
- Last updated
- Mar 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2003019276 | MO | Primary |
| Optometrist | 152W00000X | NE1209 | NE |
Addresses
Primary practice location
305 W Main St
Sedalia, MO 65301-3821
Mailing address
305 W Main St
Sedalia, MO 65301-3821
Phone (660) 310-0909
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 W Main St
Katy Trail Community Health
Sedalia, MO 65301-3821
Phone (660) 826-4774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NE1209 | NE | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Care Clinic, Inc | Current | Accepting new patients | |
| Regional Health Care Clinic Inc | Current | Accepting new patients |
Locations
305 W Main St
Sedalia, MO 65301
Phone (660) 310-0909
821 Westwood Dr
Sedalia, MO 65301
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Katy Trail Community Health
- Federally Qualified Health Center (FQHC)
- Sedalia, MO
- NPI 1922057504
-
dba Katy Trail - Warsaw School
- Federally Qualified Health Center (FQHC)
- Warsaw, MO
- NPI 1629797196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1619991692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 W MAIN ST",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653013821",
"telephone_number": "660-310-0909",
"fax_number": "888-979-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W MAIN ST",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653013821",
"telephone_number": "660-310-0909",
"fax_number": "888-979-8868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "CHAUNCEY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2003019276",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "NE1209",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.