Individual provider Active NPI

James Aaron Hackley, O.D.

  • Optometrist
  • Loudonville, OH
National Provider Identifier
1740410323
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5864 Issued in OH
Practice address
637 N Union St
Loudonville, OH 44842-1074
Phone
(419) 994-4287
Fax
(419) 281-4067
NPI assigned
Jul 17, 2009
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5864 OH Primary

Addresses

Primary practice location

637 N Union St
Loudonville, OH 44842-1074

Mailing address

21 Sugarbush CT
Ashland, OH 44805-9737
Phone (419) 289-6466

Other practice location 1

21 Sugarbush Ct
Ashland, OH 44805-9737
Phone (419) 289-6466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101004001085 OH Practitioner - Optometry 8921290339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5864OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince May 1, 2018 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 26, 2022 Accepting new patients
The Metrohealth System CurrentSince May 1, 2018 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

21 Sugarbush Ct
Ashland, OH 44805
Phone (419) 289-6466

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

637 N Union St
Loudonville, OH 44842
Phone (419) 994-4287

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1740410323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SUGARBUSH CT",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448059737",
            "telephone_number": "419-289-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 N UNION ST",
            "city": "LOUDONVILLE",
            "state": "OH",
            "postal_code": "448421074",
            "telephone_number": "419-994-4287",
            "fax_number": "419-281-4067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Sugarbush Ct",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OH",
            "postal_code": "448059737",
            "country_code": "US",
            "telephone_number": "419-289-6466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKLEY",
        "first_name": "JAMES",
        "middle_name": "AARON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loudonville, OH

Sources for this page

Verify at the official NPI Registry.