Organization
MICHAEL K HASKETT OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KENT HASKETT OD (DOCTOR/OWNER)
(434) 372-2701
Entity
Organization
Contact information
Practice address
141 N MAIN ST, CHASE CITY, VA 23924-1609
(434) 372-2701
(434) 372-3355
Mailing address
141 N MAIN ST, CHASE CITY, VA 23924-1609
(434) 372-2701
(434) 372-3355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000062
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009206019
—
VA
01
—
063596
BCBS
VA
01
—
410038621
RAILROAD MEDICARE
VA
Enumeration date
11/08/2005
Last updated
12/07/2009
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