Individual
DR. PATRICIA A HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
59 W MAIN ST, CHILLICOTHE, OH 45601-3104
(740) 774-4616
(740) 779-3856
Mailing address
64 EXECUTIVE CENTER DR, CHILLICOTHE, OH 45601-8087
(740) 774-4616
(740) 779-3856
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4841
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005791631
AETNA MEDICARE
OH
05
—
2013921
—
OH
01
—
2201034
UNITED HEALTHCARE
OH
01
—
311745571
COORDINATED VISION CARE
OH
01
—
4042081
MEDICARE
OH
Enumeration date
10/19/2005
Last updated
04/28/2017
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