Organization
DAVIS C HAIRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVIS C HAIRE O.D. (OWNER/OPTOMETRIST)
(570) 836-2020
Entity
Organization
Contact information
Practice address
10 TRIEBLE DR, SUITE 3, TUNKHANNOCK, PA 18657-7054
(570) 836-2020
(570) 836-5501
Mailing address
10 TRIEBLE DR, SUITE 3, TUNKHANNOCK, PA 18657-7054
(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
—
1007313670003
—
PA
Enumeration date
11/19/2015
Last updated
11/19/2015
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