Organization Active NPI

Robert G Haak

Doing business as Main Line Vision

  • Optometrist
  • Wayne, PA
National Provider Identifier
1467022350
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROBERT G HAAK
Doing business as
Main Line Vision
Practice address
900 W Valley Rd Ste 601
Wayne, PA 19087-1825
Phone
(610) 688-3433
Fax
(610) 688-2456
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Dr. Robert G. Haak, ODNPI 1629019682
Title
Optometrist
Phone
(610) 688-3433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

900 W Valley Rd Ste 601
Wayne, PA 19087-1825

Mailing address

900 W Valley Rd Ste 601
Wayne, PA 19087-1825
Phone (610) 688-3433

Other names 1

  • MAIN LINE VISION Doing business as

National Provider Directory

National Provider Directory

Locations

900 W Valley Rd
Ste 601
Wayne, PA 19087
Phone (610) 688-3433

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1467022350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W VALLEY RD STE 601",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871825",
            "telephone_number": "610-688-3433",
            "fax_number": "610-688-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W VALLEY RD STE 601",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871825",
            "telephone_number": "610-688-3433",
            "fax_number": "610-688-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G HAAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "HAAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "610-688-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN LINE VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.