Active NPI
Lori M Haun, OD
- Optometrist
- Baraboo, WI
National Provider Identifier
1164517074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2368
- Practice address
- S2845 White Eagle Rd
Baraboo, WI 53913-9064 - Phone
- (608) 355-1240
- Fax
- (608) 355-5166
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2368 | WI | Primary |
Addresses
Primary practice location
S2845 White Eagle Rd
Baraboo, WI 53913-9064
Mailing address
S2845 White Eagle Rd
Baraboo, WI 53913-9064
Phone (608) 355-1240
Other practice location 1
N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405
Phone (715) 284-9851
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008 | Other | WI | WPS STATE PART B |
| 38588800WI | Medicaid | WI |
Other names 1
- Dr. Lori Ellen Millerhaun
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jan'S Optical LLC | Optometrist | Past | Accepting new patients |
| Janet S White | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Waupun, WI
- NPI 1053759340
-
- Optometrist
- Waupun, WI
- NPI 1326143157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1164517074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S2845 WHITE EAGLE RD",
"city": "BARABOO",
"state": "WI",
"postal_code": "539139064",
"telephone_number": "608-355-1240",
"fax_number": "608-355-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S2845 WHITE EAGLE RD",
"city": "BARABOO",
"state": "WI",
"postal_code": "539139064",
"telephone_number": "608-355-1240",
"fax_number": "608-355-5166"
}
],
"practiceLocations": [
{
"address_1": "N6520 Lumberjack Guy Rd",
"address_purpose": "LOCATION",
"city": "Black River Falls",
"state": "WI",
"postal_code": "546155405",
"country_code": "US",
"telephone_number": "715-284-9851",
"fax_number": "715-284-5150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUN",
"first_name": "LORI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2368",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS STATE PART B",
"identifier": "0008",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38588800WI",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "MILLERHAUN",
"middle_name": "ELLEN",
"prefix": "DR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.