Jeremy Hauptman, OD | |
9069 W Thunderbird Rd, Peoria, AZ 85381-4412 | |
(623) 977-7201 | |
(623) 876-2129 |
Full Name | Jeremy Hauptman |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 7 Years |
Location | 9069 W Thunderbird Rd, Peoria, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487177721 | NPI | - | NPPES |
396097 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2932 (Oklahoma) | Secondary |
152W00000X | Optometrist | 2198 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cigna Healthcare Of Arizona Inc | 1456263573 | 125 |
Provider Name | Cigna Healthcare Of Arizona Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043471873 PECOS PAC ID: 1456263573 Enrollment ID: O20031105000515 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Hauptman, OD 25500 N Norterra Dr, Phoenix, AZ 85085-8200 Ph: (623) 277-1130 | Jeremy Hauptman, OD 9069 W Thunderbird Rd, Peoria, AZ 85381-4412 Ph: (623) 977-7201 |
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