Jacob M. Hayward, O.D.
Individual provider Active NPI Optometrist · De Witt, IA
NPI 1912346552 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1912346552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 073412 (IA)
- Practice address
- 2407 12TH Street CT
De Witt, IA 52742-1225 - Phone
- (563) 659-2020
- Fax
- (563) 659-2121
- NPI assigned
- Jun 17, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2407 12TH St CT
De Witt, IA 52742-1225
Phone (563) 659-2020
PO Box
Suite 50
De Witt, IA 52742-0050
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 44 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140708000124 | IA | Practitioner - Optometry | 3678709805 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1958 | KS | MD | Social Worker |
| 073412 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyewear Gallery | Optometrist | Current |
Accepting new patients |
| Eye Surgeons Associates PC | Optometrist | Past | Accepting new patients |
Locations
2407 12th Street Ct
De Witt, IA 52742
Phone (563) 659-2020
1107 9th Ave
De Witt, IA 52742
Phone (563) 659-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 073412 | IA | Yes |
Addresses
Primary practice location
2407 12TH Street CT
De Witt, IA 52742-1225
Mailing address
PO Box 50
De Witt, IA 52742-0050
Phone (563) 659-2020
Other providers in De Witt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.