Logan M. Haak, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LOGAN M. HAAK, M.D., INC.

Practice address

1855 1St Ave # 200B
San Diego, CA 92101-2685

Phone

(858) 863-7597

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Logan M Haak, MDNPI 1952565491

Title

Owner/President

Phone

(858) 863-7597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Logan Milad Haak, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • San Diego, CA
  • NPI 1952565491
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1932763042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 CAMINITO LUISITO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 1ST AVE # 200B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012685",
            "telephone_number": "858-863-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN M. HAAK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "HAAK",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-863-7597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly R Loftis
• Nicole Ann Loftis
• Stephanie Loftis, PSYD
• Kenyera Lofton
• Melanie Renee Lofton
• Carolyn Logan
• Cathy Lynn Logan, MD
• Daniel Allen Logan
• Leland Marie Logan
• Sigourney Jewyl Logan

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.