Individual provider Active NPI

Scott Haugen, O.D.

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1730160722
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1216 Issued in CO
Practice address
645 S Whitcomb St
Fort Collins, CO 80521-3645
Phone
(970) 221-0808
Fax
(970) 221-0802
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1216 CO Primary

Addresses

Primary practice location

645 S Whitcomb St
Fort Collins, CO 80521-3645

Mailing address

645 S Whitcomb St
Fort Collins, CO 80521-3645
Phone (970) 221-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20101004000711 CO Practitioner - Optometry 4587776406 Reassigns benefits to 1 organization
Practice locations: Fort Collins, CO

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians

Practice addresses (Care Compare)

1685 S Co Blvd
Unit O
Denver, CO 80222-4011
Phone (303) 757-6747

712 Whalers Way
Suite A210
Fort Collins, CO 80525-3621
Phone (970) 282-7739

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1216COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a. Haugen, O.D. Optometrist CurrentSince Jul 24, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://haugenod.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1730160722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S WHITCOMB ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213645",
            "telephone_number": "970-221-0808",
            "fax_number": "970-221-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S WHITCOMB ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213645",
            "telephone_number": "970-221-0808",
            "fax_number": "970-221-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGEN",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.