Organization Active NPI

Haley Vision Center, PLLC

  • Optometrist
  • Coeur D Alene, ID
National Provider Identifier
1598319337
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HALEY VISION CENTER, PLLC
Practice address
217 W Ironwood Dr
Coeur D Alene, ID 83814-2651
Phone
(208) 765-8078
NPI assigned
Jul 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Dr. Terri Haley, OD
Title
Optometrist
Phone
(208) 765-8078

Specialties & licenses 1

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

Addresses

Primary practice location

217 W Ironwood Dr
Coeur D Alene, ID 83814-2651

Mailing address

217 W Ironwood Dr
Coeur D Alene, ID 83814-2651
Phone (208) 765-8078

Other practice location 1

251 E 5th Ave Ste A
Spokane, WA 99202-1327
Phone (509) 624-4401

Other identifiers 1

IdentifierTypeStateIssuer
1114929817MedicaidID

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL DrTerriHaley.com Health Information Exchange (HIE)
CONNECT URL DrTerriHaley.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

251 E 5th Ave
#A
Spokane, WA 99202
Phone (509) 624-4401

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1598319337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142651",
            "telephone_number": "208-765-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142651",
            "telephone_number": "208-765-8078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 E 5th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021327",
            "country_code": "US",
            "telephone_number": "509-624-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HALEY VISION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "208-765-8078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114929817",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DrTerriHaley.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "217 W Ironwood Dr",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838142651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DrTerriHaley.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "251 E 5th Ave Ste A",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992021327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.