Individual
KARLA HAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3122 S GRAND BLVD, SAINT LOUIS, MO 63118-1012
(314) 450-7313
(314) 450-7314
Mailing address
PO BOX 207158, DALLAS, TX 75320-7158
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2019042773
MO
152W00000X
Optometrist
OPT002875
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93237049
—
NM
01
—
A19590
EYEMED ID
—
Enumeration date
08/27/2014
Last updated
08/02/2022
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