Individual
DR. BRADD D HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1710 COOPER FOSTER PARK RD W, LORAIN, OH 44053-3680
(440) 989-2020
(440) 282-3300
Mailing address
1710 COOPER FOSTER PARK RD W, LORAIN, OH 44053-3680
(440) 989-2020
(440) 282-3300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4258
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0860831
—
OH
Enumeration date
11/22/2006
Last updated
07/08/2007
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