Individual
MR. WILLIAM EARL HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED OPTICIAN
Contact information
Practice address
3008 N 24TH ST, 3008 N 24TH ST, OMAHA, NE 68110-2026
(402) 451-0539
Mailing address
3008 N 24TH ST, 3008 N 24TH ST, OMAHA, NE 68110
(402) 451-0539
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
033114
NE
156FX1800X
Optician
Primary
033114
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4478
—
NE
Enumeration date
08/26/2010
Last updated
08/26/2010
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