Active NPI
Jessica Young Won Hahm, O.D.
- Optometrist
- Havre de Grace, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2643
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| TA2643 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Era Eyecare LLC | Current | Accepting new patients | |
| Bread for the City Inc | Current | Accepting new patients | |
| Bread for the City,Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1699950311
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1013683762
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
- Grifasi Eyecare & Optical II, Inc. (Holloway Eye Care & Optique)
- Judith Holloway Grifasi, O.D.
- Aubrey Griffin
- Kayla Guanzon, CRNP
- Erick Christopher Guzman, PH.D.
- Halpern Eye Care of Maryland, Inc. (Vision Associates, Inc.)
- Margaret Hammer, COTA
- Harbor of Grace Enhanced Recovery Center
- Harford Counseling, LLC
- Harford County Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.