Organization
DR PATRICIA A. HALLER OPTOMETRIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA A HALLER O.D. (OWNER)
(740) 774-4616
Entity
Organization
Contact information
Practice address
59 W MAIN ST, CHILLICOTHE, OH 45601-3104
(740) 774-4616
(740) 779-3856
Mailing address
PO BOX 95, CHILLICOTHE, OH 45601-0095
(740) 774-4616
(740) 779-3856
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4841
OH
332B00000X
Durable Medical Equipment & Medical Supplies
4841
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005791631
AETNA MEDICARE
OH
05
—
2013921
—
OH
01
—
22-01034
UNITED HEALTHCARE
—
Enumeration date
12/10/2007
Last updated
06/21/2018
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