MITCHELL D HALEY OD
NPI 1649166323
Optometrist in Nacogdoches, TX

Q: What is Mitchell Haley's NPI number?

The NPI number for Mitchell Haley is 1649166323. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Q: What is Mitchell Haley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Haley was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since June 17, 2025PECOS EnrolledAccepts Medicare Assignment

3302 NE STALLINGS DR, NACOGDOCHES, TX 75965(936) 564-3600(936) 564-3770 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Jun 26, 2025, Jun 17, 2025 (3 updates tracked since 2025).

On this page

About Mitchell D Haley Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHELL D HALEY OD (NPI 1649166323) is an individual optometrist in Nacogdoches, Texas, licensed in Texas (11435) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2024).

NPPES Registry Identity

NPI1649166323

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMITCHELL D HALEYCredential: OD

Location Address3302 NE STALLINGS DRNacogdoches, TX 75965-8727

Mailing Address3302 Ne Stallings DrNacogdoches, TX 75965-8727 · (936) 564-3600 · Fax (936) 564-3770

Phone(936) 564-3600

Fax(936) 564-3770

Sole ProprietorNo

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2024

Enumeration DateJune 17, 2025

Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1649166323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 11435

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

3302 NE STALLINGS DR, Nacogdoches, TX 75965

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mitchell D Haley Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890207906

PECOS Enrollment IDI20250624004141

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75965 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYLE THORSTENSON MD

Clinic/Center (Ambulatory Surgical)