Individual provider Active NPI

John G Hasbrouck, OD

  • Optometrist
  • Saint Cloud, MN
National Provider Identifier
1225025927
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1776 Issued in MN
Practice address
1545 Northway Dr
Suite 120
Saint Cloud, MN 56303-1940
Phone
(320) 253-2441
Fax
(320) 253-2446
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1776 MN Primary

Addresses

Primary practice location

1545 Northway Dr
Suite 120
Saint Cloud, MN 56303-1940

Mailing address

1545 Northway Dr
Suite 120
Saint Cloud, MN 56303-1940
Phone (320) 253-2441

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

State licenses

LicenseStateTypeSpecialty
1776MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Vision Centers Inc PastSince Apr 23, 2016 Accepting new patients
Midwest Vision Centers Inc Past Accepting new patients
Midwest Vision Centers Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225025927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 NORTHWAY DR",
            "address_2": "SUITE 120",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031940",
            "telephone_number": "320-253-2441",
            "fax_number": "320-253-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 NORTHWAY DR",
            "address_2": "SUITE 120",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031940",
            "telephone_number": "320-253-2441",
            "fax_number": "320-253-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASBROUCK",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.