Paul V Hakes OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

04761969 Issued in ID

Legal business name

PAUL V HAKES OD INC

Practice address

204 Lenora St
McCall, ID 83638

Phone

(208) 634-2232

Fax

(208) 634-4716

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Paul V Hakes, OD

Title

Owner

Phone

(208) 634-2232

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Mark Rowe, O.D.

  • Optometrist
  • McCall, ID
  • NPI 1598954638
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1437138203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836381027",
            "telephone_number": "208-634-2232",
            "fax_number": "208-634-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LENORA ST",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "83638",
            "telephone_number": "208-634-2232",
            "fax_number": "208-634-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL V HAKES OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "HAKES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-634-2232",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "04761969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010015318",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "V0278",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002804100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Jean Ormsby
• Tara Osborne
• Daniel P. Ostermiller, MD
• Elizabeth Ostermiller, L.AC., M.AC.
• Lauren Parker, NP-C
• Payette Lakes Medical Clinic, PA
• Elena Katherine Phoutrides, MD
• Planet Three Radiology, Inc.
• Pro-Active Physical Therapy of McCall, PA
• Carol Daigle Ptacek, LPC

• Optometrist in McCall, ID
• Providers in McCall, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.