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NPI Code Detail

MEDICARE: PAUL G. HAYTER, O.D., P.C.

MEDICARE: PAUL G. HAYTER, O.D., P.C.
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
1152W00000XOptometrist5617TGTX

General Provider Information

NPI Number : 1962696807
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL G. HAYTER, O.D., P.C.
Provider Business Mailing Address
First Line : 7805 N MACARTHUR BLVD
Second Line : SUITE 101
City : IRVING
State : TX
Zip : 75063-7516
Country : US
Telephone Number : 972-910-8829
Fax Number : 972-910-8778
Provider Business Practice Location Address
First Line : 7805 N MACARTHUR BLVD
Second Line : SUITE 101
City : IRVING
State : TX
Zip : 75063-7516
Country : US
Telephone Number : 972-910-8829
Fax Number : 972-910-8778
Authorized Official
Title or Position : PRESIDENT
Name : DR. PAUL G. HAYTER
Credential : O.D.
Telephone Number : 972-910-8829
Provider Enumeration Date : 09/04/2007
Last Update Date : 09/04/2007

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