Organization Active NPI

Michael K Haskett OD PC

  • Optometrist
  • South Boston, VA
National Provider Identifier
1821088923
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000062 Issued in VA
Legal business name
MICHAEL K HASKETT OD PC
Practice address
2047 Hamilton Blvd
South Boston, VA 24592-2141
Phone
(434) 572-9733
Fax
(434) 572-9736
NPI assigned
Oct 28, 2005
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. Michael Kent Haskett, ODNPI 1215926647
Title
Doctor/Owner
Phone
(434) 572-9733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000062 VA Primary

Addresses

Primary practice location

2047 Hamilton Blvd
South Boston, VA 24592-2141

Mailing address

2047 Hamilton Blvd
South Boston, VA 24592-2141
Phone (434) 572-9733

National Provider Directory

National Provider Directory

Locations

141 N Main St
Chase City, VA 23924
Phone (434) 372-2701

2047 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-9733

Practitioners & affiliated clinicians

Practitioners 1

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": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1821088923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 HAMILTON BLVD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922141",
            "telephone_number": "434-572-9733",
            "fax_number": "434-572-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 HAMILTON BLVD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922141",
            "telephone_number": "434-572-9733",
            "fax_number": "434-572-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K HASKETT OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "HASKETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "434-572-9733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.