Individual provider Active NPI

Sheila L. Hastie, OD

  • Optometrist
  • Lebanon, NH
National Provider Identifier
1669417010
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VT0300000269 Issued in VT
Practice address
165 Mechanic St
Lebanon, NH 03766-1509
Phone
(603) 678-8185
Fax
(603) 678-8194
NPI assigned
Jun 19, 2006
Reactivated
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VT0300000269 VT Primary

Addresses

Primary practice location

165 Mechanic St
Lebanon, NH 03766-1509

Mailing address

PO Box 325
Bradford, VT 05033-0325
Phone (802) 222-4543

Other practice location 1

331 Upper Pln
Bradford, VT 05033-9207
Phone (802) 222-4543

Other identifiers 1

IdentifierTypeStateIssuer
1023472MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20170808000578 NH Practitioner - Optometry 1557374295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Vision Eyecare LLCGroup PAC ID 3678844719, 2 clinicians

Practice addresses (Care Compare)

165 Mechanic St
Lebanon, NH 03766-1509
Phone (603) 678-8185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vision Eyecare LLC Optometrist CurrentSince May 1, 2017 Accepting new patients
Dufour Vision Care PLLC Optometrist CurrentSince Feb 23, 2025 Accepting new patients

Locations

165 Mechanic St
Lebanon, NH 03766
Phone (603) 448-8853

587 Hartford Ave
White River Junction, VT 05001
Phone (802) 295-4887

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1669417010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050330325",
            "telephone_number": "802-222-4543",
            "fax_number": "802-222-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MECHANIC ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661509",
            "telephone_number": "603-678-8185",
            "fax_number": "603-678-8194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Upper Pln",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "VT",
            "postal_code": "050339207",
            "country_code": "US",
            "telephone_number": "802-222-4543",
            "fax_number": "802-222-4503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASTIE",
        "first_name": "SHEILA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-11-08",
        "deactivation_date": "2018-10-30",
        "reactivation_date": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "VT0300000269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023472",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.