Robert Gustav Haak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000298 Issued in PA

Practice address

900 W Valley Rd Ste 601
Wayne, PA 19087-1825

Phone

(610) 688-3433

Fax

(610) 688-2456

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Robert G Haak

  • Optometrist
  • Wayne, PA
  • NPI 1467022350
  NPD Authorized official
• Drevna-Hudson Physical Therapy Associates, P.C.

  • Physical Therapist
  • Lancaster, PA
  • NPI 1174577167
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1629019682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CLOVER LN",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552867",
            "telephone_number": "610-688-3433",
            "fax_number": "610-688-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W VALLEY RD STE 601",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871825",
            "telephone_number": "610-688-3433",
            "fax_number": "610-688-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAK",
        "first_name": "ROBERT",
        "middle_name": "GUSTAV",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000298",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00563700",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01757365",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Tsai Guffanti, CRNP
• Rachel Maia Guides, PSY.D.
• Subah Gupta, MHS, OTR/L
• Emily Quinn Gurtizen, MS, CCC-SLP
• Krista Janine Gydosh, OT
• Nathaniel Haas
• Lindsay Haberman
• Edda Briana Haggerty, M.S.ED.
• Courtney Hahn, OTR/L
• Andrea Hake, DOM

• Optometrist in Wayne, PA
• Providers in Wayne, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.