Hal E Hagge, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

95 Issued in AK

Practice address

10928 Eagle River Rd
Ste.# 102
Eagle River, AK 99577-8038

Phone

(907) 694-2020

Fax

(907) 694-5989

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chugach Eye Clinic and Optical, Inc.

  • Optometrist
  • Eagle River, AK
  • NPI 1033323225
  Authorized official Same address or phone

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1669463923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD",
            "address_2": "STE.# 102",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778038",
            "telephone_number": "907-694-2020",
            "fax_number": "907-694-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD",
            "address_2": "STE.# 102",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778038",
            "telephone_number": "907-694-2020",
            "fax_number": "907-694-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGE",
        "first_name": "HAL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AK",
            "license": "95",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "95",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP0095",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Haas
• Susan J Hadacek, M.A., LPC
• Catherine Anada Haese, PMHNP
• Promise Hagedon, RN
• Julia Rachel Hagen, BCAT
• James Halfpenny
• Dana Elizabeth Hall, MS, LPA, LPC
• Jalal Gazi Hamed
• Kim Hammans, LPC
• Kasey Holland Hamski, ND

• Corneal and Contact Management Optometrist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Corneal and Contact Management Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.