Provider Demographics
NPI:1780652800
Name:HAUPERT, CHRISTOPHER LAWRENCE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LAWRENCE
Last Name:HAUPERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1501 50TH ST
Mailing Address - Street 2:STE 133
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266
Mailing Address - Country:US
Mailing Address - Phone:515-222-6400
Mailing Address - Fax:515-222-6406
Practice Address - Street 1:1501 50TH ST
Practice Address - Street 2:STE 133
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:515-222-6400
Practice Address - Fax:515-222-6406
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA33471207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0207308Medicaid
IAI0566Medicare ID - Type Unspecified
G71184Medicare UPIN