Hubertina J M Hagen OD Inc PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2243 Issued in OK

Legal business name

HUBERTINA J M HAGEN OD INC PC

Practice address

1029 E Taft Ave
Sapulpa, OK 74066-4570

Phone

(918) 227-3937

Fax

(888) 972-5679

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Sarah L Cook, ODNPI 1710330139

Title

Owner

Phone

(918) 227-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye to Eye Family Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Cook, O.D.

  • Optometrist
  • Sapulpa, OK
  • NPI 1710330139
  Medicare reassignment Care Compare group NPD Authorized official
• Zachary Thomas Morrison, OD

  • Optometrist
  • Sapulpa, OK
  • NPI 1740916220
  Medicare reassignment Care Compare group NPD
• Hubertina JM Hagen, OD

  • Vision Therapy Optometrist
  • Sapulpa, OK
  • NPI 1942308309
  Medicare reassignment NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1073644720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 E TAFT AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664570",
            "telephone_number": "918-227-3937",
            "fax_number": "888-972-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E TAFT AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664570",
            "telephone_number": "918-227-3937",
            "fax_number": "888-972-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBERTINA J M HAGEN OD INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-227-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye to Eye Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye to Eye Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jim Hoskins
• Ashton Howard
• Emma Howard
• Samuel John Howard, PT
• Brenda Sue Howell, D.A.
• Kyra Lindsey Huddleston
• Julie Hudson
• Jennifer Hughes, LPC
• Sara T Hughes, MS, LPC
• Mary Temple Hull

• Optometrist in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.