Organization
HALEY VISION CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI HALEY OD (OPTOMETRIST)
(208) 765-8078
Entity
Organization
Contact information
Practice address
217 W IRONWOOD DR, COEUR D ALENE, ID 83814-2651
(208) 765-8078
Mailing address
217 W IRONWOOD DR, COEUR D ALENE, ID 83814-2651
(208) 765-8078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114929817
—
ID
Enumeration date
07/30/2019
Last updated
07/30/2019
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