Individual
DR. MICHELE LEIGH HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
323 MONROE ST, JEFFERSON CITY, MO 65101-3105
(573) 635-1313
(573) 634-8500
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(800) 432-6004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2001021461
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315428946
—
MO
Enumeration date
08/17/2006
Last updated
03/07/2023
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