NPIMap

Organization Active NPI

Daniel J Haas, LLC

  • Optometrist
  • Greenville, SC
National Provider Identifier
1174720544
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1168 Issued in SC
Legal business name
DANIEL J HAAS, LLC
Practice address
1137 Woodruff Rd Ste a
Greenville, SC 29607-4115
Phone
(864) 438-2079
Fax
(864) 234-4643
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dr. Daniel John Haas, OD
Title
Optometrist
Phone
(864) 438-2079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1168 SC Primary

Addresses

Primary practice location

1137 Woodruff Rd Ste a
Greenville, SC 29607-4115

Mailing address

1137 Woodruff Rd Ste a
Greenville, SC 29607-4115
Phone (864) 438-2079

Other identifiers 1

IdentifierTypeStateIssuer
DA9674MedicaidSC

Other names 1

  • Golden Vision Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1174720544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 WOODRUFF RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074115",
            "telephone_number": "864-438-2079",
            "fax_number": "864-234-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 WOODRUFF RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074115",
            "telephone_number": "864-438-2079",
            "fax_number": "864-234-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J HAAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "864-438-2079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9674",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.