Individual provider Active NPI

Robert G Haws, O.D.

  • Optometrist
  • Lake Jackson, TX
National Provider Identifier
1710076021
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4092TG Issued in TX
Practice address
126 Oyster Creek Dr Ste a
Lake Jackson, TX 77566-4463
Phone
(979) 299-0100
Fax
(979) 299-6181
NPI assigned
Oct 12, 2006
Last updated
Jun 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4092TG TX Primary

Addresses

Primary practice location

126 Oyster Creek Dr Ste a
Lake Jackson, TX 77566-4463

Mailing address

126 Oyster Creek Dr Ste a
Lake Jackson, TX 77566-4463
Phone (979) 299-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20130122000107 TX Practitioner - Optometry 5890844799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 Oyster Creek Dr
Lake Jackson, TX 77566-4463
Phone (979) 299-0100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4092TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert G. Haws, O.D. P.a. Optometrist CurrentSince Jan 1, 1995 Accepting new patients

Locations

126 Oyster Creek Dr
Ste A
Lake Jackson, TX 77566
Phone (979) 299-0100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1710076021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 OYSTER CREEK DR STE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664463",
            "telephone_number": "979-299-0100",
            "fax_number": "979-299-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 OYSTER CREEK DR STE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664463",
            "telephone_number": "979-299-0100",
            "fax_number": "979-299-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWS",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4092TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.