Hayden Vision LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

HAYDEN VISION LLC

Practice address

3801 Bellemeade Ave
Evansville, IN 47714-0100

Phone

(812) 477-3937

Fax

(812) 477-9797

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Gregory L HaydenNPI 1568460129

Title

Sole Member/Owner

Phone

(812) 477-3937

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, KY2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: jstearns@haydenvision.intellechartdirect.net
• Direct secure messaging: cmillsap@haydenvision.intellechartdirect.net
• Direct secure messaging: ghayden@haydenvision.intellechartdirect.net
• Direct secure messaging: eryan@haydenvision.intellechartdirect.net

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory L Hayden, MD

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1568460129

  IN, KY, Ophthalmology

  Medicare reassignment Care Compare group NPD Authorized official
• Charles Mark Millsap, MD

  • Ophthalmology Physician
  • Owensboro, KY
  • NPI 1932103736

  IN, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Emily K Ryan, OD

  • Optometrist
  • Evansville, IN
  • NPI 1407842784

  IN, KY

  Medicare reassignment Care Compare group
• Prince D Samuel, MD

  • Retina Specialist (Ophthalmology) Physician
  • Evansville, IN
  • NPI 1295730299

  IN

  Medicare reassignment NPD
• James Michael Stearns, M.D.

  • Ophthalmology Physician
  • Henderson, KY
  • NPI 1790780567

  KY

  Medicare reassignment
• Robert Edward Bromm, O.D.

  • Optometrist
  • Evansville, IN
  • NPI 1083641633
  NPD (past)
• Amanda Cox

  • Optometrist
  • Princeton, IN
  • NPI 1689562878
  NPD (past)
• Conway Stewart Cox, O.D.

  • Optometrist
  • Princeton, IN
  • NPI 1932193794
  NPD (past)
• Melinda Jo Johnson, M.A., CCC-A

  • Audiologist
  • Evansville, IN
  • NPI 1609844109
  NPD (past)
• Sarah Elizabeth Salee, OD

  • Optometrist
  • Boonville, IN
  • NPI 1033347380
  NPD (past)
• Kurt E Tillman, OD

  • Optometrist
  • Evansville, IN
  • NPI 1265407969
  NPD (past)
• David N Phillips, OD

  • Optometrist
  • Deerfield, IL
  • NPI 1396724647
  NPD (past)

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1982910253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424190722",
            "telephone_number": "812-477-3937",
            "fax_number": "812-477-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140100",
            "telephone_number": "812-477-3937",
            "fax_number": "812-477-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Barret Blvd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424204921",
            "country_code": "US",
            "telephone_number": "812-477-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAYDEN VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "812-477-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01043538",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000680191",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100137330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Hawa, NP-C
• Paul Fouad Hawa, ND DNM
• Hawesville Medical Specialists, PLLC
• Fahkara Malone Hawkins, LMSW
• Kelsey Hawkins
• Gregory L Hayden, MD
• Katherine Lauren Hayden
• Stephanie Titzer Hayden, PSY.D.
• David M Hayes, M.D.
• Amy Marie Hayhurst

• All providers in Evansville, IN
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.