Michael K Haskett OD PC

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

Organization subpart

No

Name

Dr. Michael Kent Haskett, OD

Title

Doctor/Owner

Phone

(434) 572-9733

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2009.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "440859",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009233211",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047316",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Insurance Claims Inc
• Medtran
• Alisyn L. Metz, C.R.N.A.
• Andrew D. Metz, C.R.N.A.
• Robert Metz, RN
• Victor Mihal, D.O.
• Corin Kelly Miller, FNP
• Mills Family Practice
• Amy C Mills, FNP
• Paul Alex Mitchell, PTA

• All providers in South Boston, VA
• Optometrist in Virginia

• 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.