Individual provider Active NPI

Henry Milfred Haley Jr., M.D.

  • Ophthalmology Physician
  • Metairie, LA
National Provider Identifier
1972578516
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
017686 Issued in LA
Practice address
4720 S I 10 Service Rd W Ste 406
Metairie, LA 70001-1242
Phone
(504) 456-3155
Fax
(504) 456-3113
NPI assigned
Feb 17, 2006
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 017686 LA Primary

Addresses

Primary practice location

4720 S I 10 Service Rd W Ste 406
Metairie, LA 70001-1242

Mailing address

925 Jefferson Ave
New Orleans, LA 70115-3026
Phone (504) 887-7660

Other identifiers 2

IdentifierTypeStateIssuer
0112800MedicaidMS
1390747MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000540 LA Practitioner - Ophthalmology 7012991284 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiger Vision, L.L.C.Group PAC ID 0840292850, 10 clinicians
Jeffrey Singer, MD (Apmc)Group PAC ID 9032123492, 6 clinicians

Practice addresses (Care Compare)

10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone (225) 923-0960

4720 S I 10 Service Rd W
Suite 406
Metairie, LA 70001-1242
Phone (504) 456-3155

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17686LAMDClinical Social Worker
017686LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiger Vision, L.L.C. CurrentSince Dec 13, 2006 Accepting new patients
Eye Care Surgery Center, Inc Current Accepting new patients
Steven G Zegar, OD (Apoc) CurrentSince Oct 15, 2007 Accepting new patients
Germer Haley LLC Ophthalmology PastSince Jan 1, 2014 Accepting new patients
Eye Associates LLC Ophthalmology Past Accepting new patients
Brint Vision Center Inc,. Ophthalmology Past Accepting new patients

Locations

10423 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 923-0139

42373 Pelican Professional Park
Hammond, LA 70403
Phone (985) 542-5624

3545 Highway 190
Mandeville, LA 70471
Phone (985) 626-8744

3088 Gause Blvd E
Slidell, LA 70461
Phone (985) 641-6464

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1972578516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 JEFFERSON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153026",
            "telephone_number": "504-887-7660",
            "fax_number": "504-887-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S I 10 SERVICE RD W STE 406",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011242",
            "telephone_number": "504-456-3155",
            "fax_number": "504-456-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "HENRY",
        "middle_name": "MILFRED",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "017686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112800",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1390747",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.