Haney, Eleanor Susan
Haney, Eleanor Susan is an individual health care provider with primary practice located at 285 E Parks Hwy , Wasilla AK 99654-7039. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Haney, Eleanor Susan can be contacted via phone (907) 376-3917.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3044 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT6680 | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | T482 | South Dakota |
Profile Details
| NPI number | 1982604591 |
|---|---|
| LBN Legal business name | Haney, Eleanor Susan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982604591 | NPPES |
| South Dakota | Other | 0001945 | WELLMARK BCBS |
| South Dakota | Other | 0696610001 | WELLMARK BCBS |
| South Dakota | MEDICAID | 9202490 | WELLMARK BCBS |
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