Individual provider Active NPI

Donna Katherine Haas, O.D.

  • Optometrist
  • Carrollton, TX
National Provider Identifier
1295853760
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5616TG Issued in TX
Practice address
2765 E Trinity Mills Rd Ste 405
Carrollton, TX 75006-2190
Phone
(972) 818-3937
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5616TG TX Primary

Addresses

Primary practice location

2765 E Trinity Mills Rd Ste 405
Carrollton, TX 75006-2190

Mailing address

3932 Creekside LN
Carrollton, TX 75010-6397
Phone (972) 394-1782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070814000492 TX Practitioner - Optometry 7113018565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2765 E Trinity Mills Rd
Suite 405
Carrollton, TX 75006-2190
Phone (972) 818-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5616TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Donna K Haas OD PC Optometrist CurrentSince Jul 30, 2007 Accepting new patients

Locations

2765 E Trinity Mills Rd
Ste 405
Carrollton, TX 75006
Phone (972) 818-3937

17721 Dallas Pkwy
Ste 118
Dallas, TX 75287
Phone (972) 818-3937

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1295853760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 CREEKSIDE LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106397",
            "telephone_number": "972-394-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 E TRINITY MILLS RD STE 405",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062190",
            "telephone_number": "972-818-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "DONNA",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5616TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.