IndividualActiveAccepts Medicare
Jeffrey Hagan, O.D.
NPI 1124076104 · Optometrist · Canton, MI
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124076104
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- License
- 4901002695 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
43271 Ford Rd
Canton, MI 48187-3340
Phone: (734) 981-8111
Fax: (734) 981-2327
Approximate (ZIP-level) locationGet directions
Mailing address
22217 Hazelton Ct
Novi, MI 48374-3880
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.