Penrod, Haley

Penrod, Haley is an individual health care provider with primary practice located at 131 Upper Riverdale Rd Sw , Riverdale GA 30274-2540. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Penrod, Haley can be contacted via phone (770) 994-9913.

Contact Information

Primary practice address
131 Upper Riverdale Rd Sw Riverdale GA 30274-2540
Phone: (770) 994-9913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3045 Georgia
Eye and Vision Services Providers / Vision Therapy 152WV0400X OPT003045 Georgia
Eye and Vision Services Providers / Optometrist 152W00000X 2428 Arizona

Profile Details

NPI number 1922520501
LBN Legal business name Penrod, Haley
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2017
Last updated Oct 6th, 2020 - about 5 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.

Request for update

Popular Providers