Organization Active NPI

Scott a. Haugen, O.D.

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1790214823
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1216 Issued in CO
Legal business name
SCOTT A. HAUGEN, O.D.
Practice address
645 S Whitcomb St
Fort Collins, CO 80521-3645
Phone
(970) 221-0808
NPI assigned
Jun 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Scott A Haugen, ODNPI 1730160722
Title
Owner
Phone
(970) 221-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790214823",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A. HAUGEN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-221-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.