Individual
GARRY HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, PA
Contact information
Practice address
202 COUNTRY CLUB RD, SHERWOOD, AR 72120-4627
(501) 835-7429
(501) 833-0028
Mailing address
202 COUNTRY CLUB RD, SHERWOOD, AR 72120-4627
(501) 835-7429
(501) 833-0028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2076
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001129508
WINDSOR MEDICARE
AR
05
—
106676722
—
AR
01
—
410014315
RAILROAD MEDICARE
AR
01
—
47966
BLUE CROSS BLUE SHEILD
AR
Enumeration date
09/07/2005
Last updated
04/28/2008
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