Individual provider Active NPI

Dennis Haugland, O.D.

  • Optometrist
  • Urbandale, IA
National Provider Identifier
1083749659
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1953 Issued in IA
Practice address
7030 Douglas Ave
Urbandale, IA 50322-3224
Phone
(515) 278-0123
Fax
(515) 278-6310
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1953 IA Primary

Addresses

Primary practice location

7030 Douglas Ave
Urbandale, IA 50322-3224

Mailing address

7030 Douglas Ave
Urbandale, IA 50322-3224
Phone (515) 278-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100804000810 IA Practitioner - Optometry 7618000100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Curtis Broek OD PCGroup PAC ID 0446244370, 4 clinicians

Practice addresses (Care Compare)

7030 Douglas Ave
Urbandale, IA 50322-3224
Phone (515) 278-0123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1953IAMDOptometrist
01953IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Curtis Broek OD PC Optometrist CurrentSince Jun 28, 1993 Accepting new patients
Dr. Curtis Broek, OD, PC Optometrist CurrentSince Jun 28, 1993 Accepting new patients

Locations

2634 Stange Rd
Ames, IA 50010
Phone (515) 232-5627

7030 Douglas Ave
Urbandale, IA 50322
Phone (515) 278-0123

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1083749659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 DOUGLAS AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223224",
            "telephone_number": "515-278-0123",
            "fax_number": "515-278-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 DOUGLAS AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223224",
            "telephone_number": "515-278-0123",
            "fax_number": "515-278-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGLAND",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.