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PENELOPE ANN HAEKER OD
NPI 1326040361
Optometrist in Sioux City, IA

Active since August 10, 2005PECOS Enrolled
5001 SERGEANT RD, SUITE 45, SIOUX CITY, IA 51106(712) 224-4600(712) 276-3716 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Penelope Ann Haeker Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENELOPE ANN HAEKER OD (NPI 1326040361) is an individual optometrist in Sioux City, Iowa, licensed in Iowa (02247) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1994).

NPPES Registry Identity

NPI1326040361
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePENELOPE ANN HAEKERCredential: OD
Location Address5001 SERGEANT RD, SUITE 45Sioux City, IA 51106-4775
Mailing Address5001 Sergeant Rd, Suite 45Sioux City, IA 51106-4775 · (712) 224-4600 · Fax (712) 276-3716
Phone(712) 224-4600
Fax(712) 276-3716
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 1994
Enumeration DateAugust 10, 2005
Last NPPES UpdateNovember 1, 2007
✔ NPI 1326040361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IA · 02247
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5001 SERGEANT RD, Sioux City, IA 51106
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Other Identifiers 3

Medicare UPINU51094
Other18018IA · Wellmarck Bcbs
Medicare ID-Type UnspecifiedI10447IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Avera Health Plans, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penelope Ann Haeker Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193824225
PECOS Enrollment IDI20220922001472
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Penelope Haeker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyecare Specialties Of South Dakota, P.C.
78 mi
Optometrist
5118 W 26TH ST
Sioux Falls, SD 57106
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Eyecare Specialties Of South Dakota PC
  • 11 clinicians in this Medicare group
NPI 1942176680 (618) 462-9818
Independent Eyes LLC
365 mi
Clinic/Center
808 MOUNT RUSHMORE RD
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 4 clinicians in this Medicare group
NPI 1760834162 (605) 343-6617

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
66 services66 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
52 services52 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
32 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services23 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENELOPE A HAEKER OD PLC
Optometrist
5001 SERGEANT RD, SUITE 45
SIOUX CITY, IA 51106
Woodbury County (712) 224-4600
DR. THOMAS PATRICK PATERA O.D.
Optometrist
5001 SERGEANT RD, SUITE 45
SIOUX CITY, IA 51106
Woodbury County (712) 224-4600
EYEMART EXPRESS LLC
Eyewear Supplier
5001 SERGEANT RD, SUITE 45
SIOUX CITY, IA 51106
Woodbury County (712) 276-0104
EYEMART EXPRESS, LTD.
Durable Medical Equipment & Medical Supplies
5001 SERGEANT RD, SUITE 45
SIOUX CITY, IA 51106
Woodbury County (712) 276-0104
DR. LISA KAY CALVERT O.D.
Optometrist
5001 SERGEANT RD, STE 45,
SIOUX CITY, IA 51106
Woodbury County (402) 851-0014
SOLACESPRING PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
5001 SERGEANT RD
SIOUX CITY, IA 51106
Woodbury County (712) 624-2095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penelope Haeker's NPI number?

The NPI number for Penelope Haeker is 1326040361. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Penelope Haeker located?

Penelope Haeker practices at 5001 Sergeant Rd Suite 45, Sioux City, IA 51106. The listed phone number is (712) 224-4600.

What is Penelope Haeker's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Penelope Haeker enrolled in Medicare?

Yes. Penelope Haeker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Penelope Haeker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Penelope Haeker reassigns Medicare benefits to 2 organizations: Eyecare Specialties Of South Dakota, P.C. (Sioux Falls, SD) and Independent Eyes LLC (Rapid City, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Penelope Haeker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Penelope Haeker accept?

Health plans from Anthem Blue Cross and Blue Shield, Avera Health Plans, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Penelope Haeker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Penelope Haeker was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.