Individual provider Active NPI

Susan Haskell, O.D.

  • Optometrist
  • Portsmouth, NH
National Provider Identifier
1821091877
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0543 Issued in NH
Practice address
155 Borthwick Ave
Suite 200 East
Portsmouth, NH 03801-7156
Phone
(603) 436-1773
Fax
(603) 427-0655
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0543 NH Primary

Addresses

Primary practice location

155 Borthwick Ave
Suite 200 East
Portsmouth, NH 03801-7156

Mailing address

65 Belknap St
Ste 1
Dover, NH 03820-3643
Phone (603) 742-5719

Other identifiers 1

IdentifierTypeStateIssuer
80000066MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20051022000093 NH Practitioner - Optometry 3476579046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dover Eye Care, PCGroup PAC ID 8224283932, 4 clinicians

Practice addresses (Care Compare)

65 Belknap St
Suite 1
Dover, NH 03820-3643
Phone (603) 742-5719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
543NHMDAddiction (Substance Use Disorder) Counselor
0543NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dover Eye Care, PC Optometrist CurrentSince Aug 1, 2018 Accepting new patients
Seacoast Plastic Surgeons PA Past Accepting new patients
Norman P Menard PA. Optometrist Past Accepting new patients

Locations

65 Belknap St
Dover, NH 03820
Phone (603) 742-5719

65 Belknap St
Ste 1
Dover, NH 03820
Phone (603) 742-5719

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1821091877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BELKNAP ST",
            "address_2": "STE 1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203643",
            "telephone_number": "603-742-5719",
            "fax_number": "603-743-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE",
            "address_2": "SUITE 200 EAST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017156",
            "telephone_number": "603-436-1773",
            "fax_number": "603-427-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKELL",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000066",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.