Individual provider Active NPI

Jessica C Hayward, O.D.

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1710126883
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4324 Issued in FL
Practice address
5851 NW 177TH St
Hialeah, FL 33015-5127
Phone
(305) 558-4326
NPI assigned
Feb 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001796 VA
Optometrist 152W00000X OPC 4324 FL Primary

Addresses

Primary practice location

5851 NW 177TH St
Hialeah, FL 33015-5127

Mailing address

5851 NW 177TH St
Hialeah, FL 33015-5127

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090514000302 FL Practitioner - Optometry 7911056353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye N Eye IncGroup PAC ID 4880863448, 2 clinicians

Practice addresses (Care Compare)

12091 SW 152 St
Miami, FL 33177-1607
Phone (305) 232-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4324FLMDOptometrist
0618001796VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye N Eye Inc Optometrist CurrentSince Oct 14, 2015 Accepting new patients

Locations

12091 SW 152nd St
Miami, FL 33177
Phone (305) 232-3937

Organizations & group practices 1

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": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1710126883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 NW 177TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 NW 177TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155127",
            "telephone_number": "305-558-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "JESSICA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001796",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.