Individual provider Active NPI

Theresa Ann Haas, O.D.

  • Optometrist
  • Highland, IL
National Provider Identifier
1609978683
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009727 Issued in IL
Practice address
12495 State Route 143
Highland, IL 62249-1099
Phone
(618) 651-8308
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009727 IL Primary

Addresses

Primary practice location

12495 State Route 143
Highland, IL 62249-1099

Mailing address

12495 State Route 143
Highland, IL 62249-1295
Phone (618) 651-8308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260211002770 IL Practitioner - Optometry 7315426194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

409 E Broadway
Trenton, IL 62293-1663

PO Box J
Raynham, MA 02767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009727ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Eye Care, PLLC Optometrist CurrentSince Jan 31, 2026 Accepting new patients

Locations

409 E Broadway
Trenton, IL 62293
Phone (618) 224-0078

Organizations & group practices 1

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1609978683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12495 STATE ROUTE 143",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491295",
            "telephone_number": "618-651-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12495 STATE ROUTE 143",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491099",
            "telephone_number": "618-651-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

Verify at the official NPI Registry.