Individual
DR. HALEY S PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2067
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093W7
BLUE CROSS BLUE SHIELD
NC
01
—
204180
MEDCOST
NC
05
—
5908327
—
NC
Enumeration date
10/29/2007
Last updated
01/10/2012
Update your record
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