Individual provider Active NPI

Jason William Hauck, OD

  • Optometrist
  • St George, UT
National Provider Identifier
1548266992
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
114533-9934 Issued in UT
Practice address
1791 E 280 N
St George, UT 84790-2400
Phone
(435) 656-2020
Fax
(435) 634-2646
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 114533-9934 UT Primary

Addresses

Primary practice location

1791 E 280 N
St George, UT 84790-2400

Mailing address

1791 E 280 N
St George, UT 84790-2400
Phone (435) 656-2020

Other practice location 1

1085 S Bluff St
St George, UT 84770-5245
Phone (435) 688-2020

Other names 1

  • Jason William Porritt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20070119000418 UT Practitioner - Optometry 8123028750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason a Ahee MD PCGroup PAC ID 6800891722, 6 clinicians

Practice addresses (Care Compare)

1791 E 280
St George, UT 84790-2400
Phone 4356562020103

Merit-based Incentive Payment System (MIPS)

Final score
91.75 of 100Reported as group
Quality
95.85
Improvement activities
40
Cost
78.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a Ahee MD PC Optometrist CurrentSince Aug 15, 2006 Accepting new patients
Ronald L Snow MD Facs PC Past Accepting new patients
Dixie Eye Surgi-Center Inc Past Accepting new patients

Locations

1085 S Bluff St
St George, UT 84770
Phone (435) 688-2020

1791 E 280 N
St George, UT 84790
Phone (435) 628-4429

Interoperability endpoints

  • Direct secure messaging: jhauck@ceput-zei.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1548266992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 E 280 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902400",
            "telephone_number": "435-656-2020",
            "fax_number": "435-634-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 E 280 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902400",
            "telephone_number": "435-656-2020",
            "fax_number": "435-634-2646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1085 S Bluff St",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847705245",
            "country_code": "US",
            "telephone_number": "435-688-2020",
            "fax_number": "435-634-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUCK",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "114533-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "PORRITT",
            "middle_name": "WILLIAM",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.