Individual
DR. MICHAEL GEORGE HAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OE007657P
PA
152W00000X
Optometrist
OP2470
NM
152W00000X
Optometrist
OPT796
ME
152W00000X
Optometrist
Primary
OPT796TA
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218250000
—
ME
05
—
218250001
—
ME
Enumeration date
05/03/2007
Last updated
09/03/2013
Update your record
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