Provider Demographics
NPI:1770268583
Name:HAUFF, CHARLES (OD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:HAUFF
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 SANDPIPER CT
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-3209
Mailing Address - Country:US
Mailing Address - Phone:224-545-7208
Mailing Address - Fax:
Practice Address - Street 1:1 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-6603
Practice Address - Country:US
Practice Address - Phone:781-321-9039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTG00775152W00000X
MAOPT8317152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist