Organization
WHITE MOUNTAIN EYE INSTITUTE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYLE LAMAR HAWS O.D. (OWNER/PROVIDER)
(928) 581-2825
Entity
Organization
Contact information
Practice address
39 E 1ST ST, EAGAR, AZ 85925-9847
(928) 333-4396
(928) 333-5050
Mailing address
39 E 1ST ST, EAGAR, AZ 85925-9847
(928) 333-4396
(928) 333-5050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1530
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11940710
CAQH
AZ
Enumeration date
07/25/2016
Last updated
09/28/2016
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