Derek Haden, Od PC
NPI 1174693410ActiveOrganization· Optometrist· Commerce, GA
Optometrist in Commerce, Georgia, registered in NPPES in November 2006. The authorized official on file is Donna Greene, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174693410 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2006 |
| Last updated in NPPES | May 1, 2024 |
| Certified by provider | May 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Optometrist providers in Commerce
- 1639916133
- 1952065039
- 1689924235
- 1427111673
- 1245223890
- 1841842275
- 1649366287
- 1629162052
- 1588095319