Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Ray Haisman, OD

Individual provider Optometrist · NPI 1104902923

Dr. David Ray Haisman, OD is an Undefined Non-Physician Type (Specify) in Spirit Lake, Iowa. Graduated from Illinois College of Optometry at Chicago in 2003, 23 years ago. Practices with Avera Marshall, a 100-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
23
Trained at
Illinois College of Optometry at Chicago
Licensed in
IA, IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2200 17th St
Spirit Lake, IA 51360
Phone: (712) 336-8939
Fax: (712) 336-8952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 002415 (IA)
Optometrist Taxonomy 152W00000X · Licence 046009582 (IL)

Record details

NPI number1104902923
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 27, 2006
Last updated in NPPESJune 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2003 (23 years in practice)
Group practice Avera Marshall — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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