Edward Haack is a Optometrist in Larkspur, California. Edward Haack practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Edward Haack is 1174516462. The last update date is 2017-03-28.
Edward Haack's current location address is 1102 Magnolia Ave, Larkspur, California. You can contact this provider via phone number 4158919090 and fax number 4158919080. The mailing address for Edward Haack is 1102 Magnolia Ave, Larkspur, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Haack |
|---|---|
| Address | 1102 Magnolia Ave, Larkspur, California |
| Phone Number | 4158919090 |
| Fax Number | 4158919080 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1174516462 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2017-03-28 |
Provider Mailing Address Detail
| Address | 1102 Magnolia Ave |
|---|---|
| City | Larkspur |
| State | California (CA) |
| Post Code | 949391054 |
| Phone Number | 4158919090 |
| Fax Number | 4158919080 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 10326T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0103260 | CA | -- |
Post Comment/ Review Below
What is the Edward Haack's unique identification number?
The Edward Haack has been assigned the NPI (National Provider Identifier) Number 1174516462 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Edward Haack?
The Edward Haack is physically situated at 1102 Magnolia Ave, in the city of Larkspur, state of CA, with the postal code 949391054.
What is Edward Haack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edward Haack is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did Edward Haack receive its 1174516462 assignment from the Centers for Medicare & Medicaid Services?
The Edward Haack was assigned its 1174516462 on 2005-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Edward Haack most recently updated or revised?
The details related to Edward Haack, including its address, specialty, and other relevant information, were last updated or revised on 2017-03-28.