Organization
HAYDEN VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L HAYDEN (SOLE MEMBER/OWNER)
(812) 477-3937
Entity
Organization
Contact information
Practice address
3801 BELLEMEADE AVE, EVANSVILLE, IN 47714-0100
(812) 477-3937
(812) 477-9797
Mailing address
PO BOX 722, HENDERSON, KY 42419-0722
(812) 477-3937
(812) 477-9797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
01043538
IN
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000680191
ANTHEM
IN
05
—
7100137330
—
KY
Enumeration date
08/25/2010
Last updated
03/27/2023
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