Active NPI
Arthur a. Haley OD PSC
- Eyewear Supplier
- Campbellsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 1181DT
- Legal business name
- ARTHUR A. HALEY OD PSC
- Practice address
- 68 Wellness LN
Campbellsville, KY 42718-7650 - Phone
- (270) 469-4393
- Fax
- (270) 469-1050
- NPI assigned
- Jul 11, 2007
- Last updated
- Oct 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur Andrew Haley, OD PSC
- Title
- Owner
- Phone
- (270) 469-4393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 1181DT | KY | Primary |
Addresses
Primary practice location
68 Wellness LN
Campbellsville, KY 42718-7650
Mailing address
68 Wellness LN
Campbellsville, KY 42718-7650
Phone (270) 469-4393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77011815 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Arthur a Haley OD PSC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
399 Campbellsville Byp
Ste 116
Campbellsvlle, KY 42718
Phone (270) 469-4393
68 Wellness Ln
Campbellsvlle, KY 42718
Phone (270) 469-4393
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Campbellsville, KY
- NPI 1770589376
-
- Optometrist
- Campbellsville, KY
- NPI 1528238581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761782400000",
"number": "1942409966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 WELLNESS LN",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427187650",
"telephone_number": "270-469-4393",
"fax_number": "270-469-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 WELLNESS LN",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427187650",
"telephone_number": "270-469-4393",
"fax_number": "270-469-1050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTHUR A. HALEY OD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A",
"authorized_official_last_name": "HALEY",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-469-4393",
"authorized_official_credential": "OD PSC"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "KY",
"license": "1181DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77011815",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.