Provider Demographics
NPI:1194993386
Name:ROBERT G. HAWS, O.D. P.A.
Entity type:Organization
Organization Name:ROBERT G. HAWS, O.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:HAWS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:979-299-0100
Mailing Address - Street 1:126 OYSTER CREEK DR STE A
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-4463
Mailing Address - Country:US
Mailing Address - Phone:979-299-0100
Mailing Address - Fax:979-299-6181
Practice Address - Street 1:126 OYSTER CREEK DR STE A
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-4463
Practice Address - Country:US
Practice Address - Phone:979-299-0100
Practice Address - Fax:979-299-6181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4092TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1291100001Medicare NSC
TX82241EMedicare PIN
W27981Medicare UPIN