Individual
DR. JANE HAFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1901 HARRISON ST STE 103, OAKLAND, CA 94612-3501
(510) 763-2020
(510) 763-3557
Mailing address
1901 HARRISON ST STE 103, OAKLAND, CA 94612-3501
(510) 763-2020
(510) 763-3557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7961T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780753723
NPI
—
05
—
SD0079610
—
CA
Enumeration date
11/06/2006
Last updated
06/24/2013
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