Jason M Hafner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

590 Issued in SD

Practice address

910 Harmon St
Sturgis, SD 57785-2556

Phone

(605) 347-2666

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

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, last updated by the provider on May 5, 2010.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1376522029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 STEAMBOAT CIR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024878",
            "telephone_number": "605-720-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HARMON ST",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852556",
            "telephone_number": "605-347-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFNER",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201360",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerrid W. Goebel, DC
• Franke Gonzales, MSW, CAC
• Kara Graveman
• Al Thomas Gunderson, D.C
• Gloria Gurwell, MS, ACT
• Jae Hanks, DPT
• Suzanne Kay Harris, MD
• Harwood Chiropractic PC
• Kathrine Harwood, D.C.
• Shirley Jean Hauge, MA CCC SLP

• All providers in Sturgis, SD
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.