Organization
DAVIS C. HAIRE, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIS C HAIRE O.D. (OPTOMETRIST, OWNER)
(570) 836-2020
Entity
Organization
Contact information
Practice address
10 TRIEBLE DRIVE, SUITE 3, TUNKHANNOCK, PA 18657-7025
(570) 836-2020
(570) 836-5501
Mailing address
10 TRIEBLE DRIVE, SUITE 3, TUNKHANNOCK, PA 18657-7025
(570) 836-2020
(570) 836-5501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000952
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007535151260
—
PA
Enumeration date
12/08/2010
Last updated
12/08/2010
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