Physician Compare National (NPI:1922413723)

HEALTHCARE PROVIDER: DAVID ANDREW HACKETT O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922413723
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264659424
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160208000918
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HACKETT
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	ANDREW
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4765 VILLAGE PLAZA LOOP
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	EUGENE
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	974016676
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y