Individual provider Active NPI

Joseph Michael Haggerty, OD

  • Optometrist
  • Milford, PA
National Provider Identifier
1629070875
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001036 Issued in PA
Practice address
510 Route 6 and 209
Ste 6
Milford, PA 18337-7615
Phone
(570) 296-9696
Fax
(570) 409-0316
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001036 PA Primary

Addresses

Primary practice location

510 Route 6 and 209
Ste 6
Milford, PA 18337-7615

Mailing address

510 Route 6 and 209
Ste 6
Milford, PA 18337-7615
Phone (570) 296-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110609000521 PA Practitioner - Optometry 8628255106 Reassigns benefits to 1 organization
I20110622000223 NY Practitioner - Optometry 8628255106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Eye IncGroup PAC ID 9335126291, 3 clinicians
Tri State Eye Ophthalmology of Middletown PCGroup PAC ID 3476443995, 4 clinicians

Practice addresses (Care Compare)

396 Route 6 and 209
Suite 1
Milford, PA 18337

396 Route 6 and 209 Lowr Level
Milford, PA 18337-9490

396 RTS 6 and
209 Suite 1
Milford, PA 18337-9490
Phone (570) 296-9696

75 Crystal Run Rd
Suite 120
Middletown, NY 10941-7009
Phone (845) 703-2020

Merit-based Incentive Payment System (MIPS)

Final score
93.21 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.37

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006272NYMDMental Health Counselor
OEG001036PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Eye Inc CurrentSince Jun 27, 2000 Accepting new patients
Tri State Eye Ophthalmology of Middletown PC CurrentSince Jul 13, 2000 Accepting new patients

Locations

75 Crystal Run Rd
Ste 120
Middletown, NY 10941
Phone (845) 703-2020

75 Crystal Run Rd
Ste 104
Middletown, NY 10941
Phone (845) 343-1451

75 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-4391

396 Route 6 and 209
Ste 1
Milford, PA 18337
Phone (570) 296-9696

510 Route 6 and 209
Ste 6
Milford, PA 18337
Phone (570) 296-9696

Interoperability endpoints

  • Direct secure messaging: jhaggerty@mtse1907.srs-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1629070875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ROUTE 6 AND 209",
            "address_2": "STE 6",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183377615",
            "telephone_number": "570-296-9696",
            "fax_number": "570-409-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ROUTE 6 AND 209",
            "address_2": "STE 6",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183377615",
            "telephone_number": "570-296-9696",
            "fax_number": "570-409-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

Verify at the official NPI Registry.