NPIMap

Organization Active NPI

Garry Haas Eye Clinic

  • Optometrist
  • Sherwood, AR
National Provider Identifier
1649449679
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2076 Issued in AR
Legal business name
GARRY HAAS EYE CLINIC
Practice address
202 Country Club Rd
Sherwood, AR 72120-4627
Phone
(501) 835-7429
Fax
(501) 833-0028
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Ms. April Michele Howard
Title
Medical Billing MNGR
Phone
(501) 835-7429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2076 AR Primary

Addresses

Primary practice location

202 Country Club Rd
Sherwood, AR 72120-4627

Mailing address

202 Country Club Rd
Sherwood, AR 72120-4627
Phone (501) 835-7429

Other identifiers 4

IdentifierTypeStateIssuer
47966OtherARFEDERAL BCBS
0158840002OtherARCIGNA GOVT SERVICES
47966OtherARARBCBS
47966OtherARARKANSAS MEDICARE

Other names 1

  • HAAS BRIGHT EYE CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Garry Haas Eye Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1649449679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 COUNTRY CLUB RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204627",
            "telephone_number": "501-835-7429",
            "fax_number": "501-833-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 COUNTRY CLUB RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204627",
            "telephone_number": "501-835-7429",
            "fax_number": "501-833-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY HAAS EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "MEDICAL BILLING MNGR",
        "authorized_official_telephone_number": "501-835-7429",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "47966",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVT SERVICES",
            "identifier": "0158840002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARBCBS",
            "identifier": "47966",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS MEDICARE",
            "identifier": "47966",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAAS BRIGHT EYE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.