Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609982271 Individual Practitioner Female Practitioner

Dr. Sally Hacking , OD

Optometrist • Rexburg, ID

Professional Overview & Biography Verified Profile Summary

Dr. Sally Hacking, OD is a certified Optometrist practicing in Rexburg, ID. With approximately 25 years of clinical experience since graduating from Pacific University - College Of Optometry in 2001, Dr. Hacking delivers high-quality medical care to the local community at 244 E MAIN ST.

Dr. Hacking is affiliated with Madison Clinic Optometry, P.C. and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

244 E Main St

Rexburg, ID 834402022

Telephone 2083591880
Fax 2083592025
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2001

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Rexburg, ID

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +7.3 yrs vs City Avg
City Avg: 17.7 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Rexburg, ID (385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hacking (25 Years) 25 Yrs
Rexburg Specialty Average (17.7 Years) 17.7 Yrs

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ID ODP 100024

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
806951200 (ID)
Commercial Insurance / Payer ID Deseret Mutual
863683 (ID)
Commercial Insurance / Payer ID Blue Shield Of Idaho
000010147629 (ID)
Commercial Insurance / Payer ID Blue Cross Of Idaho
V6507 (ID)

Hospital & Practice Group Affiliations

Madison Clinic Optometry, P.c.

244 E Main St, Rexburg, ID 834402022

Phone: 2083591880

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1245346980

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 244 E MAIN ST, REXBURG, ID 834402022 (Tel: 2083591880)

📍
Updated Business Mailing Address July 09, 2007

Registered at 244 E MAIN ST, REXBURG, ID 834402022 (Tel: 2083591880)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as SALLY HACKING, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #ODP 100024 in ID)

🟢
Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609982271
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

244 E Main St

Rexburg, ID 834402022

Phone: 2083591880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.