Individual
MR. MICHAEL JOSEPH HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1317 N BRIGHTLEAF BLVD, SUITE D, SMITHFIELD, NC 27577-7267
(919) 934-2020
(919) 934-7370
Mailing address
1317 N BRIGHTLEAF BLVD, SUITE D, SMITHFIELD, NC 27577-7267
(919) 934-2020
(919) 934-7370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09350
BCBS
—
05
—
8909350
—
NC
Enumeration date
06/06/2006
Last updated
05/21/2010
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