DR. JONATHAN D HALEY OD
NPI 1871919167
Optometrist in Walla Walla, WA

Q: What is Jonathan Haley's NPI number?

The NPI number for Jonathan Haley is 1871919167. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Q: What is Jonathan 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 Jonathan Haley was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 11, 2014PECOS Enrolled

1610 PENNY LN, WALLA WALLA, WA 99362(509) 540-3937(509) 540-3938 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jonathan D Haley Od NPPES

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

DR. JONATHAN D HALEY OD (NPI 1871919167) is an individual optometrist in Walla Walla, Washington, licensed in Washington (OD60843163) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871919167

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JONATHAN D HALEYCredential: OD

Location Address1610 PENNY LNWalla Walla, WA 99362

Mailing AddressPo Box OWalla Walla, WA 99362-0212 · (509) 540-3937 · Fax (509) 540-3938

Phone(509) 540-3937

Fax(509) 540-3938

Sole ProprietorNo

Enumeration DateMarch 11, 2014

Last NPPES UpdateJanuary 24, 2019

✔ NPI 1871919167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in WA · OD60843163✔ Licensed in CO · OPT.0003066✔ Licensed in WA · 39083

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.

1610 PENNY LN, Walla Walla, WA 99362

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Secondary Practice Locations 2

Location 14102 Pinion Dr # 10MdgUsaf Academy, CO 80840-2502 · Phone (719) 333-9293

Location 21070 W Elm Ave Ste AHermiston, OR 97838-2711 · Phone (509) 540-3937 · Fax (509) 540-3938

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan D Haley Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Haley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Mountain Eye PLLC

Same address

Ophthalmology

1610 PENNY LN
Walla Walla, WA 99362

Reassigned Medicare billing, Oregon and Washington enrollments
4 clinicians in this Medicare group

NPI 1255631016 (509) 540-3937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 5

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

DR. ARTHUR W GIEBEL MD

Ophthalmology