Healthcare Provider Details

I. General information

NPI: 1215662622
Provider Name (Legal Business Name): HAYLEE K MCQUAY OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 FAUNCE CORNER RD STE 110
NORTH DARTMOUTH MA
02747-1255
US

IV. Provider business mailing address

21 GENTLE VALLEY DR
DARTMOUTH MA
02747-1040
US

V. Phone/Fax

Practice location:
  • Phone: 508-717-0270
  • Fax: 508-995-3060
Mailing address:
  • Phone: 508-717-9065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT5654
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: