Phillip Keith Haiman, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPC 3650 Issued in FL

Practice address

12555 W Sunrise Blvd
Sunrise, FL 33323-0900

Phone

(954) 845-0665

NPI assigned

Jul 30, 2007

Last updated

Aug 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Dr. Phillip Haiman and Associates, P.a.

  • Optometrist
  • Sunrise, FL
  • NPI 1790008779
  Authorized official Same address or phone
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1457541187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 MANDARIN ST",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763941",
            "telephone_number": "954-336-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 W SUNRISE BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230900",
            "telephone_number": "954-845-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIMAN",
        "first_name": "PHILLIP",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC 3650",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H.O.P.E. Mental Healthcare
• Kam Habibi, DC
• Anne Elder Hackett, MD
• Jessica Hahn
• Laura Miller Hahn, MD
• Azza Halim, MD
• Barbara T Hall, CRNA
• Debbiann Hall
• Halo Medical Supplies LLC
• Lori Ann Halsey, RN

• Corneal and Contact Management Optometrist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.