DR. JACOB M. HAYWARD (NPI# 1912346552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912346552 |
| Entity Type | Individual |
| Full Name | DR. JACOB M. HAYWARD |
| Credential | O.D. |
| Practice Address |
1107 9th Ave De Witt IA 52742-1053 |
| Mailing Address |
Po Box 50 De Witt IA 52742-0050 |
| Practice Telephone | 5636592020 |
| Practice Fax Number | 5636592121 |
| Mailing Telephone | 5636592020 |
| Mailing Fax Number | 5636592121 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2015-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 073412 | IA | Eye and Vision Services Providers |
| Street Address |
1107 9TH AVE |
| City | DE WITT |
| State | IA |
| Zip Code | 52742-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346215811 | Mervin R Hassebrock | Optometrist | 1107 9th Ave, De Witt, IA 52742-0050 | 2006-02-20 |
| 1588029938 | Eyewear Gallery | Optometrist | 1107 9th Ave, De Witt, IA 52742-1053 | 2015-12-29 |
| 1538134648 | Scott C Palmer | Optometrist | 1107 9th Ave, De Witt, IA 52742-1053 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1760808810 | Tracy Lynn Weller | Physical Therapy Assistant | 1331 5th Ave., Dewitt, IA 52742 | 2014-03-13 |
| 1255599981 | Patricia Ann Sheil | Chiropractor | 604 10th Street, Dewitt, IA 52742 | 2008-05-29 |
| 1205847340 | Dewitt Pharmacy Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2006-08-11 |
| 1083105639 | Cram Chiropractic, Pllc | Chiropractor | 602 12th Street, De Witt, IA 52742 | 2018-05-18 |
| 1780904854 | Life Rx Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2010-06-10 |
| 1528281094 | Jennifer Joan Walker | Pharmacist | 629 6th Ave, Scott Thrifty White Drug, Dewitt, IA 52742 | 2007-04-11 |
| 1932263639 | James Harland Demong | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-20 |
| 1114080603 | Patti Sue Rose Trenkamp | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
| 1629131156 | Dennis C Bousselot | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
| Find all providers in zip 52742 | ||||
| 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 |
|---|---|---|---|---|
| 1346215811 | Mervin R Hassebrock | Optometrist | 1107 9th Ave, De Witt, IA 52742-0050 | 2006-02-20 |
| 1366432551 | Van M Dunn | Optometrist | 1703 S Whitehead Dr, De Witt, AR 72042-2911 | 2005-10-27 |
| 1871596452 | Mark Allen Benson | Optometrist | 800 6th Ave, De Witt, IA 52742-1329 | 2005-05-27 |
| 1588029938 | Eyewear Gallery | Optometrist | 1107 9th Ave, De Witt, IA 52742-1053 | 2015-12-29 |
| 1811367840 | Xiaomin Wu | Optometrist | 3401 Erie Blvd E, De Witt, NY 13214-1635 | 2015-10-02 |
| 1952703530 | Dale Paynter | Optometrist | 3401 Erie Blvd E, De Witt, NY 13214-1635 | 2014-09-25 |
| 1336456607 | Yaw Bekoe Saarrah-akyerekoh | Optometrist | 3401 Erie Blvd E, De Witt, NY 13214-1635 | 2010-09-08 |
| 1235317645 | Neal F Marshall, Optometrist, Pllc | Optometrist | 4473 E Genesee St, De Witt, NY 13214-2242 | 2008-02-07 |
| 1588787691 | Vision Center of Dewitt P C | Optometrist | 800 6th Ave, De Witt, IA 52742-1329 | 2007-04-06 |
| 1538134648 | Scott C Palmer | Optometrist | 1107 9th Ave, De Witt, IA 52742-1053 | 2006-02-22 |
| Find all providers in DE WITT | ||||
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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.