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Individual

DR. JAMES LESLIE HAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1120 W OAK ST STE 100, ZIONSVILLE, IN 46077-1259
(317) 873-3000
(317) 733-2020
Mailing address
1120 W OAK ST STE 100, ZIONSVILLE, IN 46077-1259
(317) 873-3000
(317) 733-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001818
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000233731
ANTHEM
IN
05
100063260A
IN
Enumeration date
09/01/2006
Last updated
10/15/2020
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