Hare, Greg A

Hare, Greg A is an individual health care provider with primary practice located at 2500 W Sims Way Suite 203, Port Townsend WA 98368-2234. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hare, Greg A can be contacted via phone (360) 379-6477.

Contact Information

Primary practice address
2500 W Sims Way Suite 203 Port Townsend WA 98368-2234
Phone: (360) 379-6477
Fax: (360) 379-6478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1715TX Washington

Profile Details

NPI number 1477736080
LBN Legal business name Hare, Greg A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2007
Last updated Aug 28th, 2014 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477736080 NPPES
Washington MEDICAID 1007880
Washington Other P00096244
Washington Other 6010488

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