Active NPI
David W Hayes, D.O.
- Ophthalmology Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- OS12357
- Practice address
- 2023 Professional Center Dr
Orange Park, FL 32073-4472 - Phone
- (904) 272-2020
- Fax
- (904) 276-4386
- NPI assigned
- Dec 19, 2005
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | DOS-1052 | HI | |
| Ophthalmology Physician | 207W00000X | OS12357 | FL | Primary |
Addresses
Primary practice location
2023 Professional Center Dr
Orange Park, FL 32073-4472
Mailing address
PO Box 476
Hood River, OR 97031-0016
Phone (619) 846-8658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Kansas City Medical College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2023 Professional Ctr Dr
Orange Park, FL 32073-4472
Phone (904) 272-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 262 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12357 | FL | MD | Ophthalmology Physician |
| DOS-1052 | HI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Wilcox and Donovan PA | Ophthalmology | Current | Accepting new patients |
| Harris Wilcox and Donovan PA | Ophthalmology | Current | Accepting new patients |
| East West Laser and Ambulatory Surgery Center, LLC | Past | Accepting new patients |
Locations
1855 Eastwest Pkwy
Fleming Isle, FL 32003
2 Shircliff Way
Ste 120
Jacksonville, FL 32204
Phone (904) 619-2006
11790 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 765-2020
2023 Professional Center Dr
Orange Park, FL 32073
Phone 9042722020234
Interoperability endpoints
- dhayes@clayeye.emadirect.md
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.
-
- Ophthalmology Physician
- Orange Park, FL
- NPI 1023120409
-
- Ophthalmology Physician
- Middleburg, FL
- NPI 1659963205
-
- Ambulatory Surgical Clinic/Center
- Fleming Island, FL
- NPI 1225701824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1659357010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 476",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970310016",
"telephone_number": "619-846-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 PROFESSIONAL CENTER DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734472",
"telephone_number": "904-272-2020",
"fax_number": "904-276-4386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "HI",
"license": "DOS-1052",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "OS12357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.