Larry D. Haas
Individual provider Active NPI Optician · Bexley, OH
NPI 1700907136 · NPPES record last updated Jan 10, 2008
Key facts
- NPI
- 1700907136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 1021S (OH)
- Practice address
- 2286 E Main St
Bexley, OH 43209-2335 - Phone
- (614) 237-2200
- Fax
- (614) 237-2422
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021S | OH | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haas Optical Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1021S | OH | Yes |
Addresses
Primary practice location
2286 E Main St
Bexley, OH 43209-2335
Mailing address
2286 E Main St
Bexley, OH 43209-2335
Phone (614) 237-2200
Other providers in Bexley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.