Kimberly Jane Hauser, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12196TPA Issued in CA

Practice address

2 Journey Ste 103
Aliso Viejo, CA 92656-3372

Phone

(949) 362-3500

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marsha Howard Optometric CorpGroup PAC ID 5294114021, 6 clinicians

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.

• Marsha Howard Optometric Corp

  • Optometrist
  • Signal Hill, CA
  • NPI 1437892957
  Medicare reassignment Care Compare group NPD
• Aliso Optometry, Inc.

  • Optometrist
  • Aliso Viejo, CA
  • NPI 1669703351
  NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1699873109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26731 CARRETAS DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915135",
            "telephone_number": "949-584-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNEY STE 103",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563372",
            "telephone_number": "949-362-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12196TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton M Harrison
• Daniel E Haspert, M.D.
• Azeen Amy Hassanzadeh
• Morris Hasson, MD
• Brian Paul Hauser, M.D.
• Healthcare Providers Reimbursement Administrators
• Hehe Foot and Ankle Services LLC
• Jane Helmeczi, PT
• Henri Koroveshi LCSW a Licensed Clinical Social Worker Corporation
• Carolyn Gray Henry, COTA

• Optometrist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.