Individual provider Active NPI

Michelle Maureen Haszto, O.D.

  • Optometrist
  • Elizabethville, PA
National Provider Identifier
1508054867
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001591 Issued in PA
Practice address
200 Kocher LN
Elizabethville, PA 17023-8716
Phone
(717) 362-4449
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001591 PA Primary

Addresses

Primary practice location

200 Kocher LN
Elizabethville, PA 17023-8716

Mailing address

6160 Springford Dr
Unit D-7
Harrisburg, PA 17111-6991
Phone (717) 439-1972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160421000179 PA Order and Referring Only - OptometryPractitioner - Optometry 8729030630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1508054867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 SPRINGFORD DR",
            "address_2": "UNIT D-7",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171116991",
            "telephone_number": "717-439-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KOCHER LN",
            "city": "ELIZABETHVILLE",
            "state": "PA",
            "postal_code": "170238716",
            "telephone_number": "717-362-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASZTO",
        "first_name": "MICHELLE",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethville, PA

Sources for this page

Verify at the official NPI Registry.