Active NPI
Eddy L Haw, O.D.
- Optometrist
- San Leandro, CA
National Provider Identifier
1801885736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5871
- Practice address
- 1377 Macarthur Blvd
San Leandro, CA 94577-3918 - Phone
- (510) 357-2020
- Fax
- (510) 357-2086
- NPI assigned
- Oct 13, 2005
- Last updated
- Nov 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 5871 | CA | |
| Optometrist | 152W00000X | 5871 | CA | Primary |
Addresses
Primary practice location
1377 Macarthur Blvd
San Leandro, CA 94577-3918
Mailing address
1377 Macarthur Blvd
San Leandro, CA 94577-3918
Phone (510) 357-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0058712 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3935 Beacon Ave
Suite a
Fremont, CA 94538-1458
Phone (510) 792-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5871 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harano and Haw Optometric Corporation | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Fremont, CA
- NPI 1548448178
-
dba Rosemont Optometric Center
- Optometrist
- Newark, CA
- NPI 1902914468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1801885736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MACARTHUR BLVD",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773918",
"telephone_number": "510-357-2020",
"fax_number": "510-357-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1377 MACARTHUR BLVD",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773918",
"telephone_number": "510-357-2020",
"fax_number": "510-357-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAW",
"first_name": "EDDY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "5871",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0058712",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.