Sarah Reyes Haakonsen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9567T Issued in CA

Practice address

16311 Ventura Blvd Ste 750
Encino, CA 91436-4325

Phone

(818) 990-3623

Fax

(818) 788-5601

NPI assigned

Sep 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Satah Reyes Haakonsen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1154723997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 LUIS DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014064",
            "telephone_number": "818-807-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 750",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364325",
            "telephone_number": "818-990-3623",
            "fax_number": "818-788-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAKONSEN",
        "first_name": "SARAH",
        "middle_name": "REYES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9567T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SATAH",
            "last_name": "HAAKONSEN",
            "middle_name": "REYES",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Optometrist in Encino, CA
• Providers in Encino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.