Organization Active NPI

Haley Optical LLC

  • Optometrist
  • Winner, SD
National Provider Identifier
1992489355
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Dr. Taylor James Haley, ODNPI 1700516861
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Interoperability endpoints

  • Direct secure messaging: 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.

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
Haley Optical, LLC1436 E 10TH Street, Winner, SD 57580-2874(605) 842-1974 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 7, 2023

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.

Verify at the official NPI Registry.