Amy Lynn Haugeberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

778 Issued in ND

Practice address

3177 15TH St W
Dickinson, ND 58601-6718

Phone

(701) 483-9141

Fax

(701) 483-9501

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionary Eye CareGroup PAC ID 8325008683, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Visionary Eye Care

  • Optometrist
  • Dickinson, ND
  • NPI 1124200688
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1801326673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3177 15TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016718",
            "telephone_number": "701-483-9141",
            "fax_number": "701-483-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 15TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016718",
            "telephone_number": "701-483-9141",
            "fax_number": "701-483-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGEBERG",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "778",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacy M Hansey
• Michelle Suzanne Hanson
• John B Hanstad, OD
• Rachel Harrell
• Lexi Hauck, PT
• Richard Haugen
• Nicolas James Hayes, DO
• Ashlee Hazen
• Health and Wellness Chiropractic
• Heart River Hearing Aid Practice

• Optometrist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.