Individual provider Active NPI

David Andrew Hackett, O.D.

  • Vision Therapy Optometrist
  • Eugene, OR
National Provider Identifier
1922413723
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
3639ATI Issued in OR
Practice address
4765 Village Plaza Loop Ste 100
Eugene, OR 97401
Phone
(541) 342-3100
Fax
(541) 342-6153
NPI assigned
Jul 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2014018414 MO
Vision Therapy Optometrist 152WV0400X 3639ATI OR Primary

Addresses

Primary practice location

4765 Village Plaza Loop Ste 100
Eugene, OR 97401

Mailing address

4765 Village Plaza Loop Ste 100
Eugene, OR 97401-6676
Phone (541) 342-3100

Other practice location 1

4320 Wornall Rd
Suite 220
Kansas City, MO 64111-5941
Phone (913) 261-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20160208000918 OR Practitioner - Optometry 2264659424

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.54 of 100Reported as group
Quality
98.4
Improvement activities
40
Cost
77.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3639ORMDChiropractor
2014018414MOMDOptometrist
3639ATIORMDVision Therapy Optometrist
1980KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Performance Center, LLC Vision Therapy Current Accepting new patients
Oregon Retina, LLC Past Accepting new patients
Sabates Eye Centers PA Past Accepting new patients

Organizations & group practices 3

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1922413723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 VILLAGE PLAZA LOOP STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016676",
            "telephone_number": "541-342-3100",
            "fax_number": "541-342-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 VILLAGE PLAZA LOOP STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-342-3100",
            "fax_number": "541-342-6153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Wornall Rd",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641115941",
            "country_code": "US",
            "telephone_number": "913-261-2020",
            "fax_number": "913-671-3225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2014018414",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "3639ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.