Individual provider Active NPI

Deborah S. Haug, O.D.

  • Optometrist
  • Encinitas, CA
National Provider Identifier
1538128129
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10201TPL Issued in CA
Practice address
893 Santa Fe Dr
Encinitas, CA 92024-3842
Phone
(760) 753-3500
Fax
(760) 753-3491
NPI assigned
Mar 21, 2006
Last updated
Sep 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10201TPL CA Primary

Addresses

Primary practice location

893 Santa Fe Dr
Encinitas, CA 92024-3842

Mailing address

893 Santa Fe Dr
Encinitas, CA 92024-3842
Phone (760) 753-3500

Other identifiers 1

IdentifierTypeStateIssuer
2794OtherCAMEDICAL EYE SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101115000710 CA Practitioner - Optometry 5890694350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Haug Optometry, IncGroup PAC ID 8628128014, 2 clinicians

Practice addresses (Care Compare)

893 Santa Fe Dr
Encinitas, CA 92024-3842
Phone (760) 753-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10201TPLCAMDOptometrist
10201CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Haug Optometry, Inc Optometrist CurrentSince Dec 8, 2003 Accepting new patients

Locations

893 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 753-3500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1538128129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243842",
            "telephone_number": "760-753-3500",
            "fax_number": "760-753-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243842",
            "telephone_number": "760-753-3500",
            "fax_number": "760-753-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUG",
        "first_name": "DEBORAH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10201TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "2794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.