Healthcare Provider Details

I. General information

NPI: 1063039451
Provider Name (Legal Business Name): HALEIGH ELIZABETH STRINGER SHIPP OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 W EVERLY BROTHERS BLVD STE 3
CENTRAL CITY KY
42330-2707
US

IV. Provider business mailing address

801 OAKWOOD DR
HARTFORD KY
42347-1231
US

V. Phone/Fax

Practice location:
  • Phone: 270-754-4515
  • Fax: 270-754-2547
Mailing address:
  • Phone: 270-977-3384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2174DT
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: