Individual
DR. JONATHAN D HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
39083
WA
152W00000X
Optometrist
Primary
OD60843163
WA
152W00000X
Optometrist
OPT.0003066
CO
Other
Enumeration date
03/11/2014
Last updated
01/24/2019
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