Individual provider Active NPI

Richard Joseph Hairston, MD

  • Ophthalmology Physician
  • Largo, FL
National Provider Identifier
1871591065
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME Issued in FL
Practice address
148 13TH St SW
Largo, FL 33770-3127
Phone
(727) 581-8706
Fax
(727) 586-3743
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME76446 FL
Ophthalmology Physician 207W00000X ME FL Primary

Addresses

Primary practice location

148 13TH St SW
Largo, FL 33770-3127

Mailing address

PO Box 2410
Largo, FL 33779-2410
Phone (727) 581-8706

Other identifiers 1

IdentifierTypeStateIssuer
260863400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100828000027 FL Practitioner - Ophthalmology 2365356342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Physicians of Pinellas, PA 39 clinicians

Practice addresses (Care Compare)

148 13TH St SW
Largo, FL 33770-3127
Phone (727) 581-8706

6133 Central Ave
Saint Petersburg, FL 33710-8529
Phone (727) 344-3008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Physicians of Pinellas, PA Ophthalmology CurrentSince Jun 25, 2001 Accepting new patients
St. Petersburg Outpatient Surgery Center, LLC CurrentSince Feb 21, 2023 Accepting new patients
The Eye Physicians of Pinellas, PA CurrentSince Jun 25, 2001 Accepting new patients
Aesthetic Center of West Florida LLC Ophthalmology PastSince Jul 1, 2004 Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients
Washington National Eye Center Ophthalmology Past Accepting new patients

Locations

148 13th St SW
Ste 200
Largo, FL 33770
Phone (727) 450-3030

148 13th St SW
Largo, FL 33770
Phone (727) 450-3030

1295 West Bay Dr
Largo, FL 33770
Phone (727) 450-3032

6133 Central Ave
St Petersburg, FL 33710
Phone (727) 344-3008

Interoperability endpoints

  • Direct secure messaging: rhairston@directaddress.net

Organizations & group practices 6

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1871591065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2410",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337792410",
            "telephone_number": "727-581-8706",
            "fax_number": "727-586-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "727-581-8706",
            "fax_number": "727-586-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME76446",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260863400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.