Individual provider Active NPI

James Leslie Haines, OD

  • Optometrist
  • Zionsville, IN
National Provider Identifier
1750493987
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001818 Issued in IN
Practice address
1120 W Oak St Ste 100
Zionsville, IN 46077-1259
Phone
(317) 873-3000
Fax
(317) 733-2020
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001818 IN Primary

Addresses

Primary practice location

1120 W Oak St Ste 100
Zionsville, IN 46077-1259

Mailing address

1120 W Oak St Ste 100
Zionsville, IN 46077-1259
Phone (317) 873-3000

Other identifiers 2

IdentifierTypeStateIssuer
100063260AMedicaidIN
000000233731OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100915001130 IN Practitioner - Optometry 5991890188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zionsville Eyecare LLCGroup PAC ID 3375736119, 8 clinicians

Practice addresses (Care Compare)

1120 W Oak St
Zionsville, IN 46077-1259

1120 W Oak St
Suite 100
Zionsville, IN 46077-1475
Phone (317) 873-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001818INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zionsville Eyecare LLC Optometrist CurrentSince Oct 25, 2010 Accepting new patients

Locations

1375 Parkway Dr
Zionsville, IN 46077
Phone (317) 873-3000

1120 W Oak St
Ste 100
Zionsville, IN 46077
Phone (317) 873-3000

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1750493987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W OAK ST STE 100",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771259",
            "telephone_number": "317-873-3000",
            "fax_number": "317-733-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W OAK ST STE 100",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771259",
            "telephone_number": "317-873-3000",
            "fax_number": "317-733-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "JAMES",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100063260A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000233731",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.