Lisa Ann Hatfield, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2305 Issued in OK

Practice address

3040 S Muskogee Ave Ste 109
Tahlequah, OK 74464-5485

Phone

(918) 431-1444

Fax

(918) 431-1555

NPI assigned

Nov 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lisa Ann Haslam Former name

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hatfield Family Eye Care, PLLC

  • Optometrist
  • Tahlequah, OK
  • NPI 1740540509
  Medicare reassignment NPD Authorized official
• Britton Vision Associates Inc

  • Ophthalmology Physician
  • Edmond, OK
  • NPI 1427051408
  NPD (past)
• Keys Family Eye Care PLC

  • Optometrist
  • Park Hill, OK
  • NPI 1699804062
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1972585545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 S MUSKOGEE AVE STE 109",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645485",
            "telephone_number": "918-431-1444",
            "fax_number": "918-431-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 S MUSKOGEE AVE STE 109",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645485",
            "telephone_number": "918-431-1444",
            "fax_number": "918-431-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100765160A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2605260",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HASLAM",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian T. Harris, D.O.
• Kendall Harris, DO
• Beverly Hasson, P.T.
• Hastings Indian Medical Center
• Hatfield Family Eye Care, PLLC
• Callie Ann Hathcoat, LADC
• Jonathan Matthew Hatley, O.D.
• Elizabeth Jo Havard, RDN, LD
• Patricia Hawk
• Ashley Marie Hayes, BHCM I

• Optometrist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.

Verify at the official NPI Registry.