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NPI Code Detail

MEDICARE: MICHAEL K HASKETT OD PC

MEDICARE: MICHAEL K HASKETT OD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0618000062VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2410038621OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1063596OTHERVABCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649251695
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL K HASKETT OD PC
Provider Business Mailing Address
First Line : 141 N MAIN ST
Second Line :
City : CHASE CITY
State : VA
Zip : 23924-1609
Country : US
Telephone Number : 434-372-2701
Fax Number : 434-372-3355
Provider Business Practice Location Address
First Line : 141 N MAIN ST
Second Line :
City : CHASE CITY
State : VA
Zip : 23924-1609
Country : US
Telephone Number : 434-372-2701
Fax Number : 434-372-3355
Authorized Official
Title or Position : DOCTOR/OWNER
Name : DR. MICHAEL KENT HASKETT
Credential : OD
Telephone Number : 434-372-2701
Provider Enumeration Date : 11/08/2005
Last Update Date : 12/07/2009

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