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General NPI Number Information
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NPI Number | 1548660517
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Entity Type | Individual
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Provider Name | KARLA HAFFORD OD
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Gender | Female
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 3122 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63118-1012
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Country | US
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Telephone | 314-450-7313
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Fax | 314-450-7314
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Provider Business Mailing Address
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Address Line | PO BOX 207158
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City | DALLAS
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State | TX
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Zip | 75320-7158
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Country | US
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Telephone | 636-200-4393
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Fax | 636-527-0766
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT002875
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2019042773
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License Number State | MO
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