Active NPI
Garry Haas, OD, PA
- Optometrist
- Sherwood, AR
National Provider Identifier
1700870581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2076
- Practice address
- 202 Country Club Rd
Sherwood, AR 72120-4627 - Phone
- (501) 835-7429
- Fax
- (501) 833-0028
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001129508 | Other | AR | WINDSOR MEDICARE |
| 106676722 | Medicaid | AR | |
| 410014315 | Other | AR | RAILROAD MEDICARE |
| 47966 | Other | AR | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garry Haas Eye Clinic | Optometrist | Past | Accepting new patients |
| Garry Haas Eye Clinic | Optometrist | Past | Accepting new patients |
| Haas Eye Clinic | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Sherwood, AR
- NPI 1376732586
-
- Optometrist
- Sherwood, AR
- NPI 1154507218
-
- Optometrist
- Sherwood, AR
- NPI 1649449679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1700870581",
"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": {
"last_name": "HAAS",
"first_name": "GARRY",
"credential": "OD, PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WINDSOR MEDICARE",
"identifier": "000001129508",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106676722",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410014315",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "47966",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}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 Apr 28, 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.