Michael K Haskett OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000062 Issued in VA

Legal business name

MICHAEL K HASKETT OD PC

Practice address

141 N Main St
Chase City, VA 23924-1609

Phone

(434) 372-2701

Fax

(434) 372-3355

NPI assigned

Nov 8, 2005

Last updated

Dec 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kent Haskett, OD

Title

Doctor/Owner

Phone

(434) 372-2701

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1649251695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239241609",
            "telephone_number": "434-372-2701",
            "fax_number": "434-372-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239241609",
            "telephone_number": "434-372-2701",
            "fax_number": "434-372-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K HASKETT OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "HASKETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "434-372-2701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009206019",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "063596",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410038621",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Chase City, VA
• Providers in Chase City, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.