Kandace Haines OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4650 Issued in FL

Legal business name

KANDACE HAINES OD INC

Practice address

900 E Atlantic Ave
Suite 17
Delray Beach, FL 33483-6954

Phone

(561) 265-2020

Fax

(561) 258-0141

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Kandace Haines, ODNPI 1215211073

Title

Owner

Phone

(561) 265-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Kandace Lauren Haines, O.D.

  • Optometrist
  • Delray Beach, FL
  • NPI 1215211073
  Medicare reassignment Care Compare group NPD Authorized official
• Blythe C. Pena, OD

  • Optometrist
  • Delray Beach, FL
  • NPI 1013758580
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1942655436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E ATLANTIC AVE",
            "address_2": "SUITE 17",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836954",
            "telephone_number": "561-265-2020",
            "fax_number": "561-258-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E ATLANTIC AVE",
            "address_2": "SUITE 17",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836954",
            "telephone_number": "561-265-2020",
            "fax_number": "561-258-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDACE HAINES OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "KANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-265-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Kalmanson, M.D.
• Dimitrios Michael Kalomiris, M.D.
• Noelle P. Kamdar, A.P. M.AC.
• Nabil S Kamel, MD
• Tianna Kamvosoulis
• Allison Kandersack, PHARMD
• Sara Kane
• Kimberly Kannenberg, PA-C
• Rachel Kapelow
• Jonathan David Kaplan, M.D.

• Optometrist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.