Haven Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HAVEN EYECARE PLLC

Practice address

9901 W Interstate 10 Ste 8031
San Antonio, TX 78230-2246

Phone

(347) 735-3057

Fax

(210) 866-3010

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Manoj Mathew Abraham, OD

Title

Doctor of Optometry

Phone

(630) 452-6290

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1528698727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 W INTERSTATE 10 STE 8031",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302246",
            "telephone_number": "210-602-1140",
            "fax_number": "210-866-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 W INTERSTATE 10 STE 8031",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302246",
            "telephone_number": "347-735-3057",
            "fax_number": "210-866-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "630-452-6290",
        "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": []
}

• Kimberly Renee Hauser, OTR/L
• Hanna Kristine Hausman, PHD
• Diane Ingrid Havalda, D.O.
• Richard Havel, MD
• Carl Wayne Haveman, DDS
• Haven Transition Solutions
• Haven Transition Solutions
• Kirby S Haverda, CRNA
• Mark E Haverkorn, DDS, MD
• Rashel M Haverkorn, MD

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.