Organization
DR. JAIME L HAALAND, OPTOMETRIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME LYNN HAALAND O.D. (OWNER)
(701) 839-5000
Entity
Organization
Contact information
Practice address
10 1ST ST SW, MINOT, ND 58701-3859
(701) 839-5000
(701) 852-4072
Mailing address
10 1ST ST SW, MINOT, ND 58701-3859
(701) 839-5000
(701) 852-4072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
623
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275513152
NPI FOR INDIVIDUAL O.D.
—
05
—
60606
—
ND
Enumeration date
01/30/2007
Last updated
12/10/2007
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