Jessica Haake, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00692101 Issued in NJ

Practice address

500 Route 35 Unit 510
Red Bank, NJ 07701-5038

Phone

(732) 576-0155

Fax

(732) 210-6059

NPI assigned

Sep 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bright Eyes Optometry LLC

  • Optometrist
  • Red Bank, NJ
  • NPI 1154087435

  NJ, Optometrist

  Medicare reassignment NPD Authorized official
• Charles M. Cummins, OD., PA

  • Optometrist
  • Bloomfield, NJ
  • NPI 1598797722

  NJ, Optometrist

  Medicare reassignment NPD
• Charles M Cummins, OD, PA

  • Eyewear Supplier
  • Turnersville, NJ
  • NPI 1114703956

  Optometrist

  NPD
• Aeg Massachusetts Professional PC

  • Optometrist
  • Andover, MA
  • NPI 1952035040
  NPD (past)
• Family Eye Care, Inc.

  • Optometrist
  • Spencer, MA
  • NPI 1245652866
  NPD (past)
• Northampton Vision Specialists, LLC

  • Vision Therapy Optometrist
  • Northampton, MA
  • NPI 1801324462
  NPD (past)

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1235539701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROUTE 37 W STE G5",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536588",
            "telephone_number": "732-797-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROUTE 35 UNIT 510",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015038",
            "telephone_number": "732-576-0155",
            "fax_number": "732-210-6059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Route 37 W Ste G5",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087536588",
            "country_code": "US",
            "telephone_number": "732-797-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAKE",
        "first_name": "JESSICA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00692100",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00692101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriane Gullotta-Gsell, PH.D.
• Yuhao Guo
• Namita Jain Gupta, M.D.
• Herbert Norman Gutentag, D.M.D.
• Patricia R. Gutentag, LCSW
• Habcore, Inc.
• Daran Haber, MD
• Steven Hack, RN
• Hackensack Meridian Ambulatory Care, Inc.
• Hackensack Meridian Health Medical Group - Complex Care PC

• All providers in Red Bank, NJ
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.