Individual
DR. JOHN CHARLES HAESEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1476
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13227271
—
CO
01
—
85628379
MEDICAID PIN
CO
01
—
C482908
MEDICARE GROUP
—
Enumeration date
05/08/2006
Last updated
11/14/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up