Organization
JAMES L. HAINES O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LESLIE HAINES OD (OWNER)
(317) 873-3000
Entity
Organization
Contact information
Practice address
1375 PARKWAY DR, ZIONSVILLE, IN 46077-1954
(317) 873-3000
(317) 733-2020
Mailing address
1375 PARKWAY DR, ZIONSVILLE, IN 46077-1954
(317) 873-3000
(317) 733-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402290A
—
IN
Enumeration date
05/03/2007
Last updated
08/26/2010
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