Organization Active NPI

Donna K Haas OD PC

  • Optometrist
  • Carrollton, TX
National Provider Identifier
1316139751
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5616TGTT Issued in TX
Legal business name
DONNA K HAAS OD PC
Practice address
2765 E Trinity Mills Rd Ste 405
Carrollton, TX 75006-2190
Phone
(972) 818-3937
Fax
(469) 828-3489
NPI assigned
Aug 9, 2007
Organization subpart
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

Authorized official

Name
Dr. Donna Katherine Haas, O.D.NPI 1295853760
Title
President
Phone
(972) 978-6255

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5616TGTT 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

Other names 1

  • trinity vision Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070814000501 TX Part B Supplier - Clinic/Group Practice 6103917554 Receives reassigned benefits from 1 practitioner
Practice locations: Carrollton, TX; Dallas, TX

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1316139751",
    "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",
            "fax_number": "469-828-3489"
        },
        {
            "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",
            "fax_number": "469-828-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA K HAAS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-978-6255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5616TGTT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "trinity vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "trinity vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.