Individual provider Active NPI

Dylan L Hatfield, O.D.

  • Optometrist
  • Boise, ID
National Provider Identifier
1972813855
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100275 Issued in ID
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150917001991 ID Practitioner - Optometry 2567779986 Reassigns benefits to 1 organization

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
Hollingshead Eye Center PCGroup PAC ID 9830133214, 6 clinicians

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 100Reported as group
Quality
84.52
Promoting interoperability
98
Improvement activities
40
Cost
78.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.