Organization Active NPI

Dr Michael J Haug & Dr Deborah S Haug Optometrists, Inc

  • Optometrist
  • Escondido, CA
National Provider Identifier
1184810640
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10202TPL Issued in CA
Legal business name
DR MICHAEL J HAUG & DR DEBORAH S HAUG OPTOMETRISTS, INC
Practice address
316 W Mission Ave
#118
Escondido, CA 92025-1731
Phone
(760) 746-7752
Fax
(760) 737-6879
NPI assigned
Sep 19, 2007
Last updated
Aug 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Dr. Michael James Haug, O.D.NPI 1316915341
Title
President
Phone
(760) 746-7752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10202TPL CA Primary

Addresses

Primary practice location

316 W Mission Ave
#118
Escondido, CA 92025-1731

Mailing address

316 W Mission Ave
#118
Escondido, CA 92025-1731
Phone (760) 746-7752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040102000847 CA Part B Supplier - Clinic/Group Practice 5991604456 Receives reassigned benefits from 3 practitioners
Practice locations: Escondido, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1184810640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W MISSION AVE",
            "address_2": "#118",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251731",
            "telephone_number": "760-746-7752",
            "fax_number": "760-737-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W MISSION AVE",
            "address_2": "#118",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251731",
            "telephone_number": "760-746-7752",
            "fax_number": "760-737-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL J HAUG & DR DEBORAH S HAUG OPTOMETRISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "HAUG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-746-7752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10202TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.