Individual
DR. ELEANOR SUSAN HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3044
MN
152W00000X
Optometrist
OPT6680
CA
152W00000X
Optometrist
Primary
T482
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001945
WELLMARK BCBS
SD
01
—
0696610001
CIGNA MEDICARE
SD
05
—
9202490
—
SD
Enumeration date
07/26/2005
Last updated
03/22/2023
Update your record
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