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Individual

DR. JAY M HAYNIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2914 S ALDER ST, TACOMA, WA 98409-4819
(253) 272-9245
(253) 272-9413
Mailing address
2914 S ALDER ST, TACOMA, WA 98409-4819
(253) 272-9245
(253) 272-9413

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003026
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1244341
COVENTRY HEALTH CARE
WA
01
157763
LABOR & INDUSTRIES
WA
05
2021996
WA
01
4341610
AETNA
WA
01
4746291
CIGNA
WA
01
AMIWA51620
MOLINA
WA
01
OD508WA
ALASKA MEDICAID
WA
Enumeration date
11/09/2006
Last updated
11/29/2007
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