Hayes Irvin Sogoloff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

030-0000149 Issued in VT

Practice address

5138 Shelburne Rd
Suite 22a
Shelburne, VT 05482-6698

Phone

(802) 985-2210

Fax

(802) 985-8553

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Optometry

Education

New England College of Optometry, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gordon Gieg MD PLLC

  • Primary Care Clinic/Center
  • Shelburne, VT
  • NPI 1487124202
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1740243245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 SHELBURNE RD",
            "address_2": "P O BOX 428",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826698",
            "telephone_number": "802-985-2210",
            "fax_number": "802-985-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 SHELBURNE RD",
            "address_2": "SUITE 22A",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826698",
            "telephone_number": "802-985-2210",
            "fax_number": "802-985-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOGOLOFF",
        "first_name": "HAYES",
        "middle_name": "IRVIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0000149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000-7936",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME REGION A  MEDICARE",
            "identifier": "6496810001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Shull, M.D., PH.D.
• Evelyn M Smith, MA LCMHC
• Heather Smith
• Lauren Smith, LCMHC
• Takiyah Smith
• Solid Ground Psychiatry PLC
• Amanda Spencer
• Mary C. Spicer, D.C.
• Margaret Spottswood, MD
• Kerry V Stanley, LICSW

• Optometrist in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.

Verify at the official NPI Registry.