NPIMap

Organization Active NPI

Robert & William Hass Optometrists Professional Corp

  • Optometrist
  • Chesaning, MI
National Provider Identifier
1275640740
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002552 Issued in MI
Legal business name
ROBERT & WILLIAM HASS OPTOMETRISTS PROFESSIONAL CORP
Practice address
1180 W Broad St
Chesaning, MI 48616-1006
Phone
(989) 845-3835
Fax
(989) 845-3982
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Dr. William B Hass, O.D.NPI 1972598258
Title
President
Phone
(989) 845-3835

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002552 MI Primary
Eyewear Supplier 332H00000X 4901002552 MI
Eyewear Supplier 332H00000X 4901002808 MI

Addresses

Primary practice location

1180 W Broad St
Chesaning, MI 48616-1006

Mailing address

1180 W Broad St
Chesaning, MI 48616-1006
Phone (989) 845-3835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071026000539 MI Part B Supplier - Clinic/Group Practice 1850487224 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: Chesaning, MI; Durand, MI; Owosso, MI
O20100930063933 MI DME Supplier - Physician - Optometrist 1850487224 Practice locations: Chesaning, MI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Robert & William Hass Optometrists1180 W Broad St, Chesaning, MI 48616-1006(989) 845-3835 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1997

National Provider Directory

National Provider Directory
Tax ID family
Robert William Hass Optometrists Professional Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 N Hickory St
#790
Owosso, MI 48867
Phone (989) 725-5330

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1275640740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 W BROAD ST",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "486161006",
            "telephone_number": "989-845-3835",
            "fax_number": "989-845-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W BROAD ST",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "486161006",
            "telephone_number": "989-845-3835",
            "fax_number": "989-845-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT & WILLIAM HASS OPTOMETRISTS PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "HASS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-845-3835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002552",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901002552",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901002808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesaning, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.