Individual provider Active NPI

Mistie Marie Hockman-Haag, O.D.

  • Optometrist
  • New Oxford, PA
National Provider Identifier
1912137555
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002267 Issued in PA
Practice address
390 Lincoln Way E
New Oxford, PA 17350-9399
Phone
(717) 624-2955
Fax
(717) 624-9242
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002267 PA Primary

Addresses

Primary practice location

390 Lincoln Way E
New Oxford, PA 17350-9399

Mailing address

390 Lincoln Way E
New Oxford, PA 17350-9399
Phone (717) 624-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110712000034 PA Practitioner - Optometry 0648458935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

390 Lincoln Way E
New Oxford, PA 17350-9399
Phone (717) 624-2955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002267PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hockman Family Eye Care, P.C. Optometrist CurrentSince Nov 21, 2012 Accepting new patients
Eye Expressions Optical, Inc Optometrist PastSince Nov 21, 2012 Accepting new patients

Locations

390 Lincoln Way E
#2
New Oxford, PA 17350

390 Lincoln Way E
New Oxford, PA 17350
Phone (717) 624-2955

Organizations & group practices 2

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1912137555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 LINCOLN WAY E",
            "city": "NEW OXFORD",
            "state": "PA",
            "postal_code": "173509399",
            "telephone_number": "717-624-2955",
            "fax_number": "717-624-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LINCOLN WAY E",
            "city": "NEW OXFORD",
            "state": "PA",
            "postal_code": "173509399",
            "telephone_number": "717-624-2955",
            "fax_number": "717-624-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKMAN-HAAG",
        "first_name": "MISTIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Oxford, PA

Sources for this page

Verify at the official NPI Registry.