Individual provider Active NPI

Michael James Haug, O.D.

  • Optometrist
  • Escondido, CA
National Provider Identifier
1316915341
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10202TPL Issued in CA
Practice address
316 W Mission Ave
Suite #118
Escondido, CA 92025-1731
Phone
(760) 746-7752
Fax
(760) 737-6879
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10202TPL CA Primary

Addresses

Primary practice location

316 W Mission Ave
Suite #118
Escondido, CA 92025-1731

Mailing address

316 W Mission Ave
Suite #118
Escondido, CA 92025-1731
Phone (760) 746-7752

Other identifiers 2

IdentifierTypeStateIssuer
18839OtherCAMEDICAL EYE SERVICES
BS665ZOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040105000284 CA Practitioner - Optometry 1355240813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Haug Optometry, IncGroup PAC ID 8628128014, 2 clinicians

Practice addresses (Care Compare)

316 W Mission Ave
Suite 118
Escondido, CA 92025-1731
Phone (760) 746-7752

893 Santa Fe Dr
Encinitas, CA 92024-3842
Phone (760) 753-3500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10202TPLCAMDOptometrist
10202CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Haug Optometry, Inc Optometrist CurrentSince Dec 28, 2008 Accepting new patients

Locations

893 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 753-3500

Organizations & group practices 2

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1316915341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W MISSION AVE",
            "address_2": "SUITE #118",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251731",
            "telephone_number": "760-746-7752",
            "fax_number": "760-737-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W MISSION AVE",
            "address_2": "SUITE #118",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251731",
            "telephone_number": "760-746-7752",
            "fax_number": "760-737-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUG",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10202TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "18839",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BS665Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.