# DR. MICHAEL J. HAYNES A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700059656
- **Authorized official:** DR. MICHAEL J HAYNES OD (PRESIDENT)
- **Authorized official phone:** (318) 323-4994

## Contact information

- **Practice address:** 2808 FORSYTHE AVENUE, MONROE, LA 71201-3008
- **Practice address phone:** (318) 323-4994
- **Practice address fax:** (318) 388-6913
- **Mailing address:** 2808 FORSYTHE AVENUE, MONROE, LA 71201-3008
- **Mailing address phone:** (318) 323-4994
- **Mailing address fax:** (318) 388-6913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 891-26T | LA | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 10/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1326879 | — | LA |