Individual
HALEY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2450 LAPORTE AVE, VALPARAISO, IN 46383-6914
(219) 531-6209
Mailing address
2450 LAPORTE AVE, VALPARAISO, IN 46383-6914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004674A
IN
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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