Active NPI
Connor Haugen, OD
- Optometrist
- Ames, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 113176
- Practice address
- 2020 Philadelphia St
Ames, IA 50010-8772 - Phone
- (515) 232-2450
- Fax
- (515) 232-3532
- NPI assigned
- Jul 15, 2021
- Last updated
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 006998 | OH | |
| Optometrist | 152W00000X | 113176 | IA | Primary |
Addresses
Primary practice location
2020 Philadelphia St
Ames, IA 50010-8772
Mailing address
309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6262
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 Philadelphia St
Ames, IA 50010-8772
Phone (515) 232-2450
309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006998 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolfe Clinic Inc | Corneal and Contact Management | Current | Accepting new patients |
Locations
2020 Philadelphia St
Ames, IA 50010
Phone (515) 232-2450
309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200
Interoperability endpoints
- chaugen@wolfe.intellechartdirect.net
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Marshalltown, IA
- NPI 1477532174
Corneal and Contact Management
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1417529793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E CHURCH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582946",
"telephone_number": "641-754-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 PHILADELPHIA ST",
"city": "AMES",
"state": "IA",
"postal_code": "500108772",
"telephone_number": "515-232-2450",
"fax_number": "515-232-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGEN",
"first_name": "CONNOR",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-15",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OH",
"license": "006998",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "113176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.