Individual
DR. BRAD E HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
500 CHURCH ST W, AHOSKIE, NC 27910-3316
(252) 332-2020
(252) 332-8543
Mailing address
500 CHURCH ST W, AHOSKIE, NC 27910-3316
(252) 332-2020
(252) 332-8543
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1332
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905E
BLUE CROSS BLUE SHIELD
NC
01
—
45371
SPECTERA
NC
05
—
890905E
—
NC
Enumeration date
12/20/2005
Last updated
01/17/2008
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