Individual provider Active NPI

Eddy L Haw, O.D.

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1801885736
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5871 Issued in CA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SD0058712MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000347 CA Practitioner - Optometry 1658441431 Reassigns benefits to 1 organization

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
Harano and Haw Optometric CorpGroup PAC ID 2769574672, 4 clinicians

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

LicenseStateTypeSpecialty
5871CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.