Jane Hafen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7961T Issued in CA

Practice address

1901 Harrison St Ste 103
Oakland, CA 94612-3501

Phone

(510) 763-2020

Fax

(510) 763-3557

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1780753723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HARRISON ST STE 103",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123501",
            "telephone_number": "510-763-2020",
            "fax_number": "510-763-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HARRISON ST STE 103",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123501",
            "telephone_number": "510-763-2020",
            "fax_number": "510-763-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEN",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7961T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780753723",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0079610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fitimah Njeri Hadley
• Lauren Hadley
• Randy Hadley
• Debra Owens Haegel, R.P.T.
• Sukhdeep Kaur Haer
• Shenowa Nicolette Hafiz
• Dana Hafter-Manza
• Robert Ward Hagar, M.D.
• Nils Hagberg, PH.D.
• Eliza Cristina Hagen, M.D.

• Optometrist in Oakland, CA
• Providers in Oakland, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.