Provider Demographics
NPI:1093944605
Name:MICHAEL G. HAAS M.D., LLC
Entity Type:Organization
Organization Name:MICHAEL G. HAAS M.D., LLC
Other - Org Name:HAAS VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-272-4227
Mailing Address - Street 1:6760 CORPORATE DR STE 180
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-5905
Mailing Address - Country:US
Mailing Address - Phone:719-272-4227
Mailing Address - Fax:719-272-3834
Practice Address - Street 1:6760 CORPORATE DR STE 180
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-5905
Practice Address - Country:US
Practice Address - Phone:719-272-4227
Practice Address - Fax:719-272-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty