Provider Demographics
NPI:1922286319
Name:GEORGE A HAAS OD PA
Entity Type:Organization
Organization Name:GEORGE A HAAS OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:501-835-7800
Mailing Address - Street 1:3004 E KIEHL AVE
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-3228
Mailing Address - Country:US
Mailing Address - Phone:501-835-7800
Mailing Address - Fax:
Practice Address - Street 1:3004 E KIEHL AVE
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3228
Practice Address - Country:US
Practice Address - Phone:501-835-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2077332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0362650001Medicare NSC
ART20144Medicare UPIN