Individual provider Active NPI

Douglas C. Hauschild, OD

  • Optometrist
  • Weaverville, NC
National Provider Identifier
1245390491
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1069 Issued in NC
Practice address
40 N. Main St.
Weaverville, NC 28787-9427
Phone
(828) 658-0564
Fax
(828) 645-7279
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1069 NC Primary

Addresses

Primary practice location

40 N. Main St.
Weaverville, NC 28787-9427

Mailing address

PO Box 1620
Weaverville, NC 28787-1620
Phone (828) 658-0564

Other identifiers 8

IdentifierTypeStateIssuer
2270865OtherNCUNITED HEALTHCARE
22946OtherNCSPECTERA
09392OtherNCNC HEALTH CHOICE
8909392MedicaidNC
4928240001OtherNCCIGNA GOVERNMENT SERVICES
09392OtherNCBLUE CROSS
410045707OtherNCRAILROAD MEDICARE
T64935OtherNCUPIN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080221000519 NC Practitioner - Optometry 6002990587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 N Main St
Weaverville, NC 28787-9427
Phone (828) 658-0564

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1069NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas C. Hauschild, PLLC Optometrist CurrentSince Nov 29, 2000 Accepting new patients

Locations

40 N Main St
Weaverville, NC 28787
Phone (704) 658-0564

Organizations & group practices 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1245390491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1620",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287871620",
            "telephone_number": "828-658-0564",
            "fax_number": "828-645-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N. MAIN ST.",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879427",
            "telephone_number": "828-658-0564",
            "fax_number": "828-645-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSCHILD",
        "first_name": "DOUGLAS",
        "middle_name": "C.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2270865",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "22946",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "09392",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909392",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "4928240001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "09392",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045707",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T64935",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

Verify at the official NPI Registry.