Individual provider Active NPI

Brad E Hauser, O.D.

  • Optometrist
  • Ahoskie, NC
National Provider Identifier
1083690218
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1332 Issued in NC
Practice address
500 Church St W
Ahoskie, NC 27910-3316
Phone
(252) 332-2020
Fax
(252) 332-8543
NPI assigned
Dec 20, 2005
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1332 NC Primary

Addresses

Primary practice location

500 Church St W
Ahoskie, NC 27910-3316

Mailing address

500 Church St W
Ahoskie, NC 27910-3316
Phone (252) 332-2020

Other identifiers 3

IdentifierTypeStateIssuer
890905EMedicaidNC
0905EOtherNCBLUE CROSS BLUE SHIELD
45371OtherNCSPECTERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090303000081 NC Practitioner - Optometry 0547326308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 W Church St
Ahoskie, NC 27910-3316
Phone (252) 332-2020

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC1332NCMDOptometrist
1332NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahoskie Eye Care OD PA Optometrist CurrentSince Nov 1, 1992 Accepting new patients
Ahoskie Eye Care OD PA Dba Windsor Eye Care Optometrist CurrentSince Nov 1, 1992 Accepting new patients

Locations

500 Church St W
Ahoskie, NC 27910
Phone (252) 332-2020

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1083690218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHURCH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103316",
            "telephone_number": "252-332-2020",
            "fax_number": "252-332-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHURCH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103316",
            "telephone_number": "252-332-2020",
            "fax_number": "252-332-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "BRAD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890905E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0905E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "45371",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.