Individual
DR. HALEY A PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1597H
BLUE CROSS BLUE SHIELD
NC
05
—
5918058
—
NC
01
—
NC2164
STATE LIC
NC
Enumeration date
10/01/2009
Last updated
07/21/2022
Update your record
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