Jake Ryan Haberman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

108407 Issued in IA

Practice address

1620 Superior St Ste 3
Webster City, IA 50595-2913

Phone

(515) 832-2401

NPI assigned

May 26, 2021

Last updated

May 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wolfe Clinic Eye Centers LCGroup PAC ID 1850285479, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhaberman@wolfe.intellechartdirect.net

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.

• Wolfe Clinic Eye Centers LC

  • Optometrist
  • Marshalltown, IA
  • NPI 1720067424
  Medicare reassignment Care Compare group NPD
• Wolfe Clinic Eye Centers LC

  dba Wolfe Family Vision Centers

  • Optometrist
  • Sac City, IA
  • NPI 1437118668
  NPD
• Wolfe Clinic Eye Centers LC

  • Eyewear Supplier
  • Grundy Center, IA
  • NPI 1952084717

  Optometrist

  NPD
• Wolfe Clinic Inc

  • Ophthalmology Physician
  • Marshalltown, IA
  • NPI 1477532174

  Single Specialty

  NPD
• Wolfe Clinic Eye Centers, LC

  • Optometrist
  • Webster City, IA
  • NPI 1740249978
  NPD (past)

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1790350296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 SUPERIOR ST STE 3",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952913",
            "telephone_number": "515-832-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 SUPERIOR ST STE 3",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952913",
            "telephone_number": "515-832-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMAN",
        "first_name": "JAKE",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "108407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie R. Fenimore, ARNP
• John P Ferrell, OD
• Thomas Michael Follett, MSW
• Brenda Lynn Gerdes, LISW
• Gayette F Grimm, MD
• Sherry Hall
• Hamilton County Public Hospita (Van Diest Medical Center Clinic)
• Hamilton County Public Hospital (Van Diest Medical Center ARNPs)
• Hamilton County Public Hospital (Hamilton Hospital CRNA)
• Hamilton County Public Hospital (HCPH ER Physicians)

• Optometrist in Webster City, IA
• Providers in Webster City, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.