Individual provider Active NPI

Ray Allen Hager Jr., O.D.

  • Optometrist
  • Siler City, NC
National Provider Identifier
1770558728
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1661 Issued in NC
Practice address
1603 E 11TH St
Siler City, NC 27344-2823
Phone
(919) 742-5007
Fax
(919) 742-4599
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1661 NC Primary

Addresses

Primary practice location

1603 E 11TH St
Siler City, NC 27344-2823

Mailing address

1603 E 11TH St
Siler City, NC 27344-2823
Phone (919) 742-5007

Other identifiers 1

IdentifierTypeStateIssuer
890928MMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101117000622 NC Practitioner - Optometry 5991713802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1603 E 11TH St
Siler City, NC 27344-2823
Phone (919) 742-5007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC1661NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Siler Crossing Vision Center Optometry PA Optometrist CurrentSince Aug 1, 2002 Accepting new patients
Academy Eye Center Optometry, PA Optometrist Past Accepting new patients
Academy Eye Center Optometry, PA Optometrist Past Accepting new patients

Locations

1603 E 11th St
Siler City, NC 27344
Phone (919) 742-5007

Organizations & group practices 3

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1770558728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E 11TH ST",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273442823",
            "telephone_number": "919-742-5007",
            "fax_number": "919-742-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E 11TH ST",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273442823",
            "telephone_number": "919-742-5007",
            "fax_number": "919-742-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "RAY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890928M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Siler City, NC

Sources for this page

Verify at the official NPI Registry.