Active NPI
David Andrew Hackett, O.D.
- Vision Therapy Optometrist
- Eugene, OR
National Provider Identifier
1922413723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 3639ATI
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160208000918 | OR | Practitioner - Optometry | 2264659424 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.54 of 100
- Quality
- 98.4
- Improvement activities
- 40
- Cost
- 77.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3639 | OR | MD | Chiropractor |
| 2014018414 | MO | MD | Optometrist |
| 3639ATI | OR | MD | Vision Therapy Optometrist |
| 1980 | KS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Vision Therapy Optometrist
- Eugene, OR
- NPI 1952865974
-
- Ophthalmology Physician
- Eugene, OR
- NPI 1871829762
-
- Durable Medical Equipment & Medical Supplies
- Kansas City, MO
- NPI 1093837528
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.