DR. HAYDEN DEAN BLACK OD
NPI 1184294464
Optometrist in Henryetta, OK
About Dr. Hayden Dean Black Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HAYDEN DEAN BLACK OD (NPI 1184294464) is an individual optometrist in Henryetta, Oklahoma, licensed in Oklahoma (3112) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Hayden Dean Black Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Hayden Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Henryetta, OK 74437
- Reassigned Medicare billing, Oklahoma enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74437 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hayden Black's NPI number?
The NPI number for Hayden Black is 1184294464. It was assigned to this individual provider in the NPPES registry on June 29, 2021.
Where is Hayden Black located?
Hayden Black practices at 900 W Main St, Henryetta, OK 74437. The listed phone number is (918) 652-2345.
What is Hayden Black's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Hayden Black enrolled in Medicare?
Yes. Hayden Black is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Hayden Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hayden Black reassigns Medicare benefits to Henryetta Eye Center (Henryetta, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hayden Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hayden Black accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 16 other insurers list Hayden Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Hayden Black was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Hayden Dean Black, OD · NPI 1184294464
Optometrist provider in Henryetta, Oklahoma. Individual provider, active in the CMS NPPES registry since June 29, 2021.
## Identity
- **NPI:** 1184294464 (Entity type: Individual)
- **Enumerated:** June 29, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3112 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 W MAIN ST, Henryetta, OK 74437-4252
- **Phone:** (918) 652-2345
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Henryetta Eye Center (NPI 1174727622, Henryetta, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1184294464) · Data from the CMS NPPES public registry.