Charles William Haegele, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2570TG Issued in TX

Practice address

9870 Gateway Blvd N
Suite B-4
El Paso, TX 79924-4414

Phone

(915) 751-0264

Fax

(915) 751-2736

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1316930407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9870 GATEWAY BLVD N",
            "address_2": "SUITE B-4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244414",
            "telephone_number": "915-751-0264",
            "fax_number": "915-751-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9870 GATEWAY BLVD N",
            "address_2": "SUITE B-4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244414",
            "telephone_number": "915-751-0264",
            "fax_number": "915-751-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEGELE",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2570TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127228805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127228804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Gill Haddad, MS, CCC, SLP
• Therese Hadden, LCSW
• George Haddy, D.D.S, M.P.H
• Yulie Mariani Hadi, M.D
• Rachael Elizabeth Haduck
• Jacob Haener, PT, DPT
• Ahmed Mohamed Thabet Hagag, MD,PH.D
• Hagan Imaging LLC
• Elizabeth Hagelsieb Escalera, FNP
• Gladymar Hahn

• Optometrist in El Paso, TX
• Providers in El Paso, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.