Active NPI
Davis C. Haire, OD
- Optometrist
- Tunkhannock, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000952
- Legal business name
- DAVIS C. HAIRE, OD
- Practice address
- 10 Trieble Drive
Suite 3
Tunkhannock, PA 18657-7025 - Phone
- (570) 836-2020
- Fax
- (570) 836-5501
- NPI assigned
- Dec 8, 2010
- Last updated
- Dec 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Davis C Haire, O.D.
- Title
- Optometrist, Owner
- Phone
- (570) 836-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000952 | PA | Primary |
Addresses
Primary practice location
10 Trieble Drive
Suite 3
Tunkhannock, PA 18657-7025
Mailing address
10 Trieble Drive
Suite 3
Tunkhannock, PA 18657-7025
Phone (570) 836-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007535151260 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Davis C Haire
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Tunkhannock, PA
- NPI 1598139164
Locations
10 Trieble Dr
Ste 3
Tunkhannock, PA 18657
Phone (570) 836-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Tunkhannock, PA
- NPI 1184788267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291766400000",
"number": "1508169848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TRIEBLE DRIVE",
"address_2": "SUITE 3",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186577025",
"telephone_number": "570-836-2020",
"fax_number": "570-836-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TRIEBLE DRIVE",
"address_2": "SUITE 3",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186577025",
"telephone_number": "570-836-2020",
"fax_number": "570-836-5501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIS C. HAIRE, OD",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A",
"authorized_official_last_name": "HAIRE",
"authorized_official_first_name": "DAVIS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OPTOMETRIST, OWNER",
"authorized_official_telephone_number": "570-836-2020",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007535151260",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tunkhannock, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.