Dr. Eleanor Susan Haney, OD
Optometrist in Wasilla, AK. Individual provider (NPI-1).
NPI number1982604591
StatusActive
Last updated in NPPESMar 22, 2023
Details
- NPI
- 1982604591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eleanor Susan Haney
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2005
- Certification date
- Mar 22, 2023
- Last updated
- Mar 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | T482 | SD | Yes |
| 152W00000X | Optometrist | 3044 | MN | |
| 152W00000X | Optometrist | opt6680 | CA |
Practice location
285 E Parks HwyWasilla, AK 99654-7039
Phone 907-376-3917
Mailing address
1920 S 10th St # 3Philadelphia, PA 19148-2317
Phone 646-660-0891
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All 25 Optometrist providers in Wasilla · All 3,076 providers in Wasilla
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