Lauren Haverly, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3382 Issued in MN

Practice address

7789 147TH St W
Apple Valley, MN 55124

Phone

(952) 432-0680

Fax

(952) 432-8823

NPI assigned

Jun 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Ohio State University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lauren K Haverly LLCGroup PAC ID 2668806811, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Lauren K Haverly LLC

  dba Prism Eyecare

  • Optometrist
  • Saint Paul, MN
  • NPI 1982247870
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1255745782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7789 147TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247568",
            "telephone_number": "952-393-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7789 147TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "55124",
            "telephone_number": "952-432-0680",
            "fax_number": "952-432-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERLY",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalif Hassan
• Najma Abdinasir Hassan
• Charles Jerome Hauwiller, CRNA
• Anna Havelka, C.P.N.P.
• Gary David Haverlock, B.S. PHARMACY
• Mohamed Adbi-Asis Haybe
• Healthwheels Transportation LLC
• Heffernan Enterprises PLLC (East Valley Chiropractic)
• Kyle M Heffernan, DC
• Jonathan Heiderscheit, CCC-SLP

• Optometrist in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.