CHARLES WILLIAM HAEGELE (NPI# 1316930407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316930407 |
| Entity Type | Individual |
| Full Name | CHARLES WILLIAM HAEGELE |
| Credential | OD |
| Practice Address |
9870 Gateway Blvd N Suite B-4 El Paso TX 79924-4414 |
| Practice Telephone | 9157510264 |
| Practice Fax Number | 9157512736 |
| Mailing Telephone | 9157510264 |
| Mailing Fax Number | 9157512736 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2008-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2570TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 127228804 | 05 | |
| TX | 127228805 | 05 |
| Street Address |
9870 GATEWAY BLVD N SUITE B-4 |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850118 | Kathryn Anne Reveles | Nurse Practitioner | 9870 Gateway Blvd N, Ste B7, El Paso, TX 79924-4425 | 2005-06-09 |
| 1689031387 | Greater Dallas Healthcare Enterprises | Pediatrics | 9870 Gateway Blvd N, Ste. A, El Paso, TX 79924-4425 | 2016-01-26 |
| 1104299189 | Janeth Carolina Moldes | Nurse Practitioner | 9870 Gateway Blvd N, El Paso, TX 79924-4425 | 2015-11-12 |
| 1437585379 | O'meara Rosado, Dpm., Pllc | Podiatrist | 9870 Gateway Blvd N, B-7, El Paso, TX 79924-4425 | 2013-09-24 |
| 1386985125 | Helena H. Liptakova, Md., Pllc | Pediatrics | 9870 Gateway Blvd N, Suite B - 7, El Paso, TX 79924-4425 | 2013-03-04 |
| 1184865107 | Shirlina Lia Alcala | Nurse Practitioner | 9870 Gateway Blvd N, Suite B7, El Paso, TX 79924-4425 | 2009-03-20 |
| 1700077658 | Valerie Valdez | Physical Therapist | 9870 Gateway Blvd N, Ste B-7, El Paso, TX 79924-4425 | 2007-08-06 |
| 1275641292 | Jessica Rodriguez | Physical Therapist | 9870 Gateway Blvd N, Ste. B7, El Paso, TX 79924-4425 | 2006-08-29 |
| 1609882596 | Dempsey D Gordon | Family Medicine | 9870 Gateway Blvd N, Ste B-7, El Paso, TX 79924-4425 | 2006-07-31 |
| 1306840970 | Magdalena Ramirez | Nurse Practitioner | 9870 Gateway Blvd N, Ste B7, El Paso, TX 79924-4425 | 2005-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471739 | Shriya Ruparel | Optometrist | 10961 Gateway Blvd W Ste 300, El Paso, TX 79935-4923 | 2019-08-09 |
| 1780237883 | El Paso West Eyecare & Contact Lens Center PC | Optometrist | 655 Sunland Park Dr Ste E1b, El Paso, TX 79912-5168 | 2019-07-18 |
| 1073171443 | Sky View Optometry Pllc | Optometrist | 2260 N Zaragoza Rd Ste A114, El Paso, TX 79938-8123 | 2019-05-31 |
| 1497256309 | Daniel & Max, LLC | Optometrist | 725 Sunland Park Dr # 225, El Paso, TX 79912-6701 | 2018-02-26 |
| 1538670252 | James Anthony Twitchell | Optometrist | 4913 Stampede Dr, El Paso, TX 79934-3370 | 2017-10-20 |
| 1982127973 | Roberto Farid Fournier | Optometrist | 8889 Gateway Blvd W Ste 1010, El Paso, TX 79925-6542 | 2017-07-21 |
| 1427461896 | Henry Vu | Optometrist | 10961 Gateway West, Ste 300, El Paso, TX 79935 | 2014-06-03 |
| 1679906127 | Syndy Jane Maynard | Optometrist | 8889 Gateway Blvd W, Suite 1010, El Paso, TX 79925-6537 | 2013-08-19 |
| 1225380587 | El Paso Eyecare Pllc | Optometrist | 9009 Gateway Blvd. South, El Paso, TX 79904 | 2012-10-11 |
| 1932411121 | Matthew Ryan Selby | Optometrist | 1796 N Zaragoza Rd, El Paso, TX 79936-7909 | 2010-07-05 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.