Penelope a Haeker OD PLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

02247 Issued in IA

Legal business name

PENELOPE A HAEKER OD PLC

Practice address

5001 Sergeant Rd
Suite 45
Sioux City, IA 51106-4775

Phone

(712) 224-4600

Fax

(712) 276-3716

NPI assigned

Aug 10, 2005

Organization subpart

No

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

Authorized official

Name

Penelope A Haeker, OD

Title

MGR

Phone

(712) 224-4600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1124020177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SERGEANT RD",
            "address_2": "SUITE 45",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064775",
            "telephone_number": "712-224-4600",
            "fax_number": "712-276-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SERGEANT RD",
            "address_2": "SUITE 45",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064775",
            "telephone_number": "712-224-4600",
            "fax_number": "712-276-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENELOPE A HAEKER OD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HAEKER",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "712-224-4600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyona Marie Peck
• Kierra Pedersen
• Amy Linn Peirce, ARNP-FNP-BC
• Avery Warren Peirce, FNP-C
• Cynthia Pelton, NCC
• Justina Nicole Perera, PMHNP-BC
• Francisca Larissa Perez-Ladeaux
• Brenda Perez, TCADC
• Kimberly Anne Perry, CRNA
• Julie Rene Perryman, LMSW

• Optometrist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.