Active NPI
Haley Optical LLC
- Optometrist
- Winner, SD
National Provider Identifier
1992489355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HALEY OPTICAL LLC
- Practice address
- 1436 E 10TH St Ste 1
Winner, SD 57580-2874 - Phone
- (605) 842-1974
- Fax
- (605) 842-2328
- NPI assigned
- Jun 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Taylor James Haley, OD
- Title
- Optometrist
- Phone
- (605) 842-1974
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1436 E 10TH St Ste 1
Winner, SD 57580-2874
Mailing address
1436 E 10TH St Ste 1
Winner, SD 57580-2874
Phone (605) 842-1974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231020000639 | SD | Part B Supplier - Clinic/Group Practice | 0840646329 |
Receives reassigned benefits from 2 practitioners Practice locations: Winner, SD |
| O20240426001367 | SD | DME Supplier - Physician - Optometrist | 0840646329 | Practice locations: Winner, SD |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- drhaley@haleyoptical.eyefinity-direct.com
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Rapid City, SD
- NPI 1700516861
-
- Optometrist
- Winner, SD
- NPI 1730131392
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Haley Optical, LLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1992489355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1436 E 10TH ST STE 1",
"city": "WINNER",
"state": "SD",
"postal_code": "575802874",
"telephone_number": "605-842-1974",
"fax_number": "605-842-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 E 10TH ST STE 1",
"city": "WINNER",
"state": "SD",
"postal_code": "575802874",
"telephone_number": "605-842-1974",
"fax_number": "605-842-2328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALEY OPTICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "HALEY",
"authorized_official_first_name": "TAYLOR",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "605-842-1974",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winner, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.