Individual provider Active NPI

David W Hayes, D.O.

  • Ophthalmology Physician
  • Orange Park, FL
National Provider Identifier
1659357010
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS12357 Issued in FL
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

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915000262 FL Practitioner - Ophthalmology 0749407567 Reassigns benefits to 1 organization

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
Harris Wilcox and Donovan PAGroup PAC ID 4981776333, 17 clinicians

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 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS12357FLMDOphthalmology Physician
DOS-1052HIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Wilcox and Donovan PA Ophthalmology CurrentSince Jul 1, 2015 Accepting new patients
Harris Wilcox and Donovan PA Ophthalmology CurrentSince Jul 1, 2015 Accepting new patients
East West Laser and Ambulatory Surgery Center, LLC PastSince Jun 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.