Brandon Steven Hauck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

078302 Issued in IA

Practice address

1428 2ND Ave N
Fort Dodge, IA 50501-4119

Phone

(515) 573-1145

Fax

(515) 573-1028

NPI assigned

Jun 3, 2015

Last updated

Oct 20, 2015By the provider in NPPES

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

Enrolled in IA

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

Specialty

Optometry

Education

Southern College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broadway Vision Source, Incorporated

  • Optometrist
  • Eagle Grove, IA
  • NPI 1710456249
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1346620432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014119",
            "telephone_number": "515-573-1145",
            "fax_number": "515-573-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014119",
            "telephone_number": "515-573-1145",
            "fax_number": "515-573-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUCK",
        "first_name": "BRANDON",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "078302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000389",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "D02825",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tia Hartzler, IADC
• Blake V Harvey, CADC
• Connie Harvey, CADC
• Devin Hatfield, DPM
• Jessica Kay Haub, ARNP
• Healthcare Rides of Iowa
• Heath Family Eyecare Inc (Heath Family Eyecare)
• Bethany A Heath, O.D.
• Brent A Heath, O.D.
• Megan G Heesch, NURSE PRACTIONER

• Optometrist in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.