Organization Active NPI

Michael a Hattan OD

  • Optometrist
  • Hays, KS
National Provider Identifier
1982873279
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MICHAEL A HATTAN OD
Practice address
1517 E 27TH St
Hays, KS 67601-2111
Phone
(785) 625-2226
Fax
(785) 625-9167
NPI assigned
Feb 21, 2008
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Mrs. Dee Ann Garrison
Title
Assistant
Phone
(785) 625-2226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X 11693 KS

Addresses

Primary practice location

1517 E 27TH St
Hays, KS 67601-2111

Mailing address

PO Box 357
1517 E 27TH St
Hays, KS 67601-0357
Phone (785) 625-2226

Other identifiers 2

IdentifierTypeStateIssuer
005158OtherKSBLUE CROSS BLUE SHIELD
30004683530001MedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhattan@hattantayloreyecare.eyefinity-direct.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930074998 KS DME Supplier - Physician - Optometrist 3678690658 Practice locations: Hays, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Michael a Hattan OD1517 E 27TH St, Hays, KS 67601-2111(785) 625-2226 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1517 E 27th St
Hays, KS 67601
Phone (785) 625-2226

Interoperability endpoints

  • Direct secure messaging: mhattan@hattantayloreyecare.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1982873279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "address_2": "1517 E 27TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676010357",
            "telephone_number": "785-625-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 E 27TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012111",
            "telephone_number": "785-625-2226",
            "fax_number": "785-625-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A HATTAN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "785-625-2226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KS",
            "license": "11693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "005158",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004683530001",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhattan@hattantayloreyecare.eyefinity-direct.com",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1517 E 27th St",
            "city": "Hays",
            "state": "KS",
            "country_code": "US",
            "postal_code": "676012111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.