Organization Active NPI

Paul G. Hayter, O.D., P.C.

  • Optometrist
  • Irving, TX
National Provider Identifier
1962696807
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5617TG Issued in TX
Legal business name
PAUL G. HAYTER, O.D., P.C.
Practice address
7805 N Macarthur Blvd
Suite 101
Irving, TX 75063-7516
Phone
(972) 910-8829
Fax
(972) 910-8778
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Paul G. Hayter, O.D.NPI 1477528875
Title
President
Phone
(972) 910-8829

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5617TG TX Primary

Addresses

Primary practice location

7805 N Macarthur Blvd
Suite 101
Irving, TX 75063-7516

Mailing address

7805 N Macarthur Blvd
Suite 101
Irving, TX 75063-7516
Phone (972) 910-8829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051007000114 TX Part B Supplier - Clinic/Group Practice 6608891858 Receives reassigned benefits from 3 practitioners
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

3341 Regent Blvd
Ste 120
Irving, TX 75063
Phone (972) 910-8829

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1962696807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 N MACARTHUR BLVD",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637516",
            "telephone_number": "972-910-8829",
            "fax_number": "972-910-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 N MACARTHUR BLVD",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637516",
            "telephone_number": "972-910-8829",
            "fax_number": "972-910-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL G. HAYTER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "HAYTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-910-8829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5617TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.