Edward M Hagen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1356 Issued in CO

Practice address

4 Garden Ctr
Suite 100
Broomfield, CO 80020-7026

Phone

(303) 469-1941

Fax

(303) 469-6634

NPI assigned

Jul 3, 2006

Last updated

May 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.hagen.p5@direct.inlandeyespecialists.nextgenshare.com

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.

• Colorado Eye Center, LLC

  dba Great Vision Eye Care

  • Optometrist
  • Broomfield, CO
  • NPI 1366516825
  Medicare reassignment NPD
• Colorado Eye Center, LLC

  • Durable Medical Equipment & Medical Supplies
  • Denver, CO
  • NPI 1912374653

  Optometrist

  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1093745515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GARDEN CTR",
            "address_2": "SUITE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207026",
            "telephone_number": "303-469-1941",
            "fax_number": "303-469-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GARDEN CTR",
            "address_2": "SUITE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207026",
            "telephone_number": "303-469-1941",
            "fax_number": "303-469-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "EDWARD",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dean Gusack, LPC
• Nashalie Gutierrez, RBT
• Martha Ha, D.D.S
• Urjoomund Habeeb, CNIM
• Jack Varga Hadwin, DDS
• Audrey Jo Haimes, NP-C
• Megan Halajian, PHARMD
• Emma Sullivan Halfacre, M.A. CCC-SLP
• Mackenzie Hall, LSW
• Penny Kyle Hamilton, LPC

• Optometrist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.