Eleanor Susan Haney, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T482 Issued in SD

Practice address

285 E Parks Hwy
Wasilla, AK 99654-7039

Phone

(907) 376-3917

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Guys

  • Optometrist
  • Wasilla, AK
  • NPI 1053646570
  NPD (past)
• Milbank Eyecare Center, Prof. L.L.C.

  • Optometrist
  • Milbank, SD
  • NPI 1578747143
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1982604591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 S 10TH ST # 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482317",
            "telephone_number": "646-660-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E PARKS HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547039",
            "telephone_number": "907-376-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "ELEANOR",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3044",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6680",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "T482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "0001945",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "0696610001",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202490",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hamilton
• Zachary D Hamilton
• Sheryle Lynn Hamlett, DDS
• Bryce Austin Hammonds
• Michael Hampton, B.S., NCAC I,
• Hans P. Nordstrom DDS
• Benjamin Hansen
• Billie Jo Hansen
• Canaan Hansen
• Shelia M Hansen

• All providers in Wasilla, AK
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.