Individual
BILLY D HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1825 GRAVES MILL RD, FOREST, VA 24551-3967
(434) 385-5600
(434) 455-7172
Mailing address
PO BOX 45923, BALTIMORE, MD 21297-5923
(434) 385-5600
(434) 455-7172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000386
VA
152W00000X
Optometrist
Primary
0620000089
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009232346
—
VA
Enumeration date
07/24/2006
Last updated
12/15/2025
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