Kathryn Opbroek Haivala, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

502 Issued in SD

Practice address

1710 North Ave
Spearfish, SD 57783

Phone

(605) 642-8480

Fax

(605) 642-8185

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kathryn O Haivala OD PLLC 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.85 of 100Reported as individual

Quality

81.7

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kathryn O Haivala, OD PLLC

  • Health Service Clinic/Center
  • Spearfish, SD
  • NPI 1548874084

  Optometrist, SD

  Medicare reassignment Care Compare group NPD Authorized official
• Spearfish Eye Care Center

  • Optician
  • Spearfish, SD
  • NPI 1144256587
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1477564771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "57783",
            "telephone_number": "605-642-8480",
            "fax_number": "605-642-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "57783",
            "telephone_number": "605-642-8480",
            "fax_number": "605-642-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIVALA",
        "first_name": "KATHRYN",
        "middle_name": "OPBROEK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EQUALITY CARE",
            "identifier": "119816500",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202840",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4995272",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lea Griffith, MS
• Linda Marie Gross, LPC-MH, QMHP
• Lydia Kay Guthmiller
• Anne Haase
• Bryan Clark Haivala, PT
• Sonja Marie Halverson, LCSW
• Hand and Physical Therapy of Wyoming Limited Partnership
• Hand and Physical Therapy of Wyoming Limited Partnership
• Zachary Andrew Hansen, DC
• McKayla L Harrington, MT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.

Verify at the official NPI Registry.