Organization Active NPI

Dr. Haug Optometry, Inc

  • Optometrist
  • Encinitas, CA
National Provider Identifier
1790970044
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10202TPL Issued in CA
Legal business name
DR. HAUG OPTOMETRY, INC
Practice address
893 Santa Fe Dr
Encinitas, CA 92024-3842
Phone
(760) 753-3500
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Dr. Michael James Haug, O.D.NPI 1316915341
Title
Doctor
Phone
(760) 753-3500

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 10202TPL CA Primary

Addresses

Primary practice location

893 Santa Fe Dr
Encinitas, CA 92024-3842

Mailing address

893 Santa Fe Dr
Encinitas, CA 92024-3842
Phone (760) 753-3500

Other identifiers 1

IdentifierTypeStateIssuer
BS663AOtherCAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090605000036 CA Part B Supplier - Clinic/Group Practice 8628128014 Receives reassigned benefits from 3 practitioners
Practice locations: Encinitas, CA

National Provider Directory

National Provider Directory

Locations

893 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 753-3500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1790970044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243842",
            "telephone_number": "760-753-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243842",
            "telephone_number": "760-753-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HAUG OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "HAUG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "760-753-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10202TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BS663A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.