Organization Active NPI

Haley & Assoc, LLC

  • Optometrist
  • Fort Leonard Wood, MO
National Provider Identifier
1568747210
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2001021461 Issued in MO
Legal business name
HALEY & ASSOC, LLC
Practice address
143 Replacement Ave
BLDG 487
Fort Leonard Wood, MO 65473-9092
Phone
(573) 329-4860
Fax
(573) 329-4864
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michele L Haley, O.D.
Title
Optometrist/Member
Phone
(573) 329-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2001021461 MO Primary

Addresses

Primary practice location

143 Replacement Ave
BLDG 487
Fort Leonard Wood, MO 65473-9092

Mailing address

PO Box 588
Fort Leonard Wood, MO 65473-0588
Phone (573) 329-4860

National Provider Directory

National Provider Directory

Locations

143 Replacement Ave
Fort Leonard Wood, MO 65473
Phone (573) 329-4860

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1568747210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654730588",
            "telephone_number": "573-329-4860",
            "fax_number": "573-329-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 REPLACEMENT AVE",
            "address_2": "BLDG 487",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739092",
            "telephone_number": "573-329-4860",
            "fax_number": "573-329-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEY & ASSOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST/MEMBER",
        "authorized_official_telephone_number": "573-329-4860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2001021461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Leonard Wood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.