Individual
WHITNEY HARGROVE HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1225 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250
(901) 722-3347
Mailing address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250
(901) 722-3347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2259
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215921085
INDIVIDUAL NPI #
TN
01
—
1851384986
GROUP NPI
TN
01
—
3517680
GROUP MEDICARE
TN
Enumeration date
09/07/2005
Last updated
05/15/2013
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