DR. HAYLEE BOURLIER (OD) – Optometrist, NPI 1245948181

DR. HAYLEE BOURLIER (OD) is a healthcare provider. based in Fort wayne, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004368B (IN). The NPI Number for DR. HAYLEE BOURLIER (OD) is 1245948181

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAYLEE BOURLIER (OD)
NPI
1245948181
Phone
Not provided
Address
2719 ASCENSION CT
Enumeration Date
9 November 2022
Last Update Date
9 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2603063937
Graduation Year
2022 (4 years ago)
PAC ID
9133580657
Group Practice PAC ID
8628302742
Professional Enrollment ID
I20230801000878
Address ID
IN469621967NO901XX114X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for DR. HAYLEE BOURLIER (OD)

  • 2719 ASCENSION CT

    FORT WAYNE, IN 468188537

    Phone:

    Type: Mailing

  • 2121 LAKE AVE

    FORT WAYNE, IN 468055100

    Phone: (260) 426-5431

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230801000878IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system3737$0
92250Photography of the retina2222$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 46818)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628302742View full group profile
NameSpecialtyState
O P T O M E T R YIN
-IN

Reviews

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Frequently asked questions

What identifier follows DR. HAYLEE BOURLIER (OD) across health systems?
The NPI 1245948181 uniquely identifies DR. HAYLEE BOURLIER (OD) in U.S. healthcare data.
Is DR. HAYLEE BOURLIER (OD) currently accepting referrals based on NPI status?
Registry metadata lists DR. HAYLEE BOURLIER (OD) as active.
What services align with DR. HAYLEE BOURLIER (OD)'s listing?
DR. HAYLEE BOURLIER (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. HAYLEE BOURLIER (OD) tied to Fort Wayne, Indiana?
If you are local to Fort Wayne, Indiana, DR. HAYLEE BOURLIER (OD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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