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Organization

MICHAEL K HASKETT OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL KENT HASKETT OD (DOCTOR/OWNER)
(434) 572-9733
Entity
Organization

Contact information

Practice address
2047 HAMILTON BLVD, SOUTH BOSTON, VA 24592-2141
(434) 572-9733
(434) 572-9736
Mailing address
2047 HAMILTON BLVD, SOUTH BOSTON, VA 24592-2141
(434) 572-9733
(434) 572-9736

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000062
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009233211
VA
01
410047316
RAILROAD MEDICARE
VA
01
440859
BCBS
VA
Enumeration date
10/28/2005
Last updated
12/07/2009
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