Provider Demographics
NPI:1083106934
Name:HAYES, KARA BRACKNEY (OD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:BRACKNEY
Last Name:HAYES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3175 S STATE ROAD 7
Mailing Address - Street 2:STE 100
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8098
Mailing Address - Country:US
Mailing Address - Phone:561-603-6621
Mailing Address - Fax:
Practice Address - Street 1:9266 OLMSTEAD DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-3602
Practice Address - Country:US
Practice Address - Phone:561-603-6621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5595152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty