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Individual

BRIAN CARL HAYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
121 E MICHIGAN AVE, SALINE, MI 48176-1552
(734) 429-9454
(734) 429-4100
Mailing address
121 E MICHIGAN AVE, SALINE, MI 48176-1552
(734) 429-9454
(734) 429-4100

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004009
MI
152WC0802X
Corneal and Contact Management Optometrist
4901004009
MI
152WP0200X
Pediatric Optometrist
4901004009
MI
152WX0102X
Occupational Vision Optometrist
4901004009
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4471227
MI
05
4644712
MI
01
900C848370
BCBSM
MI
01
BH004009
BCBS MICHIGAN
MI
01
P00615116
RAILROAD MEDICARE
Enumeration date
08/22/2005
Last updated
05/03/2011
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