Individual provider Active NPI

Jessica Young Won Hahm, O.D.

  • Optometrist
  • Havre de Grace, MD
National Provider Identifier
1841858065
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2643 Issued in MD
Practice address
2023 Pulaski Hwy
Havre de Grace, MD 21078-2137
Phone
(410) 939-6477
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2643 MD Primary

Addresses

Primary practice location

2023 Pulaski Hwy
Havre de Grace, MD 21078-2137

Mailing address

1312 Delphi CT
Bel Air, MD 21014-6840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20211214000393 DC Practitioner - Optometry 8022348424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bread for the City,Inc.Group PAC ID 7719042902, 10 clinicians

Practice addresses (Care Compare)

1525 7TH St NW
Washington, DC 20001-3201
Phone (202) 235-1926

1700 Good Hope Rd SE
Washington, DC 20020
Phone (202) 386-7020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2643MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Era Eyecare LLC CurrentSince Mar 15, 2023 Accepting new patients
Bread for the City Inc CurrentSince Aug 31, 2021 Accepting new patients
Bread for the City,Inc. CurrentSince Aug 31, 2021 Accepting new patients
New Era Eyecare, LLC Optometrist Past Accepting new patients

Locations

1525 7th St NW
Washington, DC 20001
Phone (202) 235-1926

113 N Washington St
Alexandria, VA 22314
Phone (703) 549-2828

5718 Union Mill Rd
Clifton, VA 20124
Phone (703) 830-3977

Interoperability endpoints

  • Direct secure messaging: jessica.hahm@bftc.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1841858065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 DELPHI CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HWY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782137",
            "telephone_number": "410-939-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHM",
        "first_name": "JESSICA",
        "middle_name": "YOUNG WON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.