CMS-1500 Box 24J / 33a • NPI
1124616826
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
156FX1800X (CMS 96[5])
Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician
Box 32 Service Location & ZIP+4
450 PROVIDENCE RD, BROOKLYN, CT, 06234-1823
✓ 9-Digit EDI 837 ZIP+4 (06234-1823)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1124616826 (HAILEY OLSON HICKS, LO, ABOC, NCLEC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124616826 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HAILEY OLSON HICKS, LO, ABOC, NCLEC |
| Plain-English Specialty | Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician NUCC Code: 156FX1800X (Technician/Technologist, Optician) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 450 PROVIDENCE RD, BROOKLYN, CT, 06234-1823 |
| Practice Telephone / Fax | Tel: (860) 412-5141 | Fax: (860) 774-1656 |
| Administrative Mailing Address | 450 PROVIDENCE RD, BROOKLYN, CT, 06234-1823 |
| Enumeration & Last Sync | Enumerated: 2021-01-07 | CMS Record Updated: 2021-01-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (156FX1800X)
What Does Taxonomy Code 156FX1800X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 156FX1800X translates to:
"Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HAILEY OLSON HICKS, LO, ABOC, NCLEC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
156FX1800X — Technician/Technologist, OpticianPlain English: Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician | State: CT | License: 1825 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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