Individual provider Active NPI

Robin Elizabeth Hauck, O.D.

  • Optometrist
  • Ramsey, NJ
National Provider Identifier
1043445745
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00638500 Issued in NJ
Practice address
245 E Main St
Ramsey, NJ 07446-1942
Phone
(201) 327-3006
Fax
(201) 327-0720
NPI assigned
May 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007505 NY
Optometrist 152W00000X 27OA00638500 NJ Primary

Addresses

Primary practice location

245 E Main St
Ramsey, NJ 07446-1942

Mailing address

245 E Main St
Ramsey, NJ 07446-1942
Phone (201) 327-3006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000354 NJ Practitioner - Optometry 3476734112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Regional Eye Care PAGroup PAC ID 2567443781, 4 clinicians

Practice addresses (Care Compare)

284 N Franklin Tpke
Ramsey, NJ 07446-1629
Phone (201) 327-3006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007505NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Vision Center Inc. Optometrist PastSince Jun 21, 2010 Accepting new patients
Cignar Corp. Optometrist PastSince May 1, 2009 Accepting new patients
Glassman Eye LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1043445745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E MAIN ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461942",
            "telephone_number": "201-327-3006",
            "fax_number": "201-327-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E MAIN ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461942",
            "telephone_number": "201-327-3006",
            "fax_number": "201-327-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUCK",
        "first_name": "ROBIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-25",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007505",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00638500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.