Active NPI
Dylan L Hatfield, O.D.
- Optometrist
- Boise, ID
National Provider Identifier
1972813855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100275
- Practice address
- 360 E. Mallard Dr. Ste 110
Hollingshead Eye Center
Boise, ID 83706-3945 - Phone
- (208) 336-8700
- Fax
- (208) 426-0902
- NPI assigned
- Oct 13, 2010
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | ODP-100275 | ID | Primary |
Addresses
Primary practice location
360 E. Mallard Dr. Ste 110
Hollingshead Eye Center
Boise, ID 83706-3945
Mailing address
360 E. Mallard Dr. Ste 110
Hollingshead Eye Center
Boise, ID 83706-3945
Phone (208) 336-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 E Mallard Dr
Suite 110
Boise, ID 83706-3945
Phone (208) 336-8700
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.27 of 100
- Quality
- 84.52
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 78.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- dhatfield@hollingsheadeyecenter.emadirect.md
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Boise, ID
- NPI 1871643585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972813855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 E. MALLARD DR. STE 110",
"address_2": "HOLLINGSHEAD EYE CENTER",
"city": "BOISE",
"state": "ID",
"postal_code": "837063945",
"telephone_number": "208-336-8700",
"fax_number": "208-426-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E. MALLARD DR. STE 110",
"address_2": "HOLLINGSHEAD EYE CENTER",
"city": "BOISE",
"state": "ID",
"postal_code": "837063945",
"telephone_number": "208-336-8700",
"fax_number": "208-426-0902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATFIELD",
"first_name": "DYLAN",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.