Provider Demographics
NPI:1346303153
Name:HAIRE, SCOTT (OD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:HAIRE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:SAMUEL
Other - Middle Name:
Other - Last Name:HAIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1000 BYPASS N
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342-9462
Mailing Address - Country:US
Mailing Address - Phone:502-839-9381
Mailing Address - Fax:502-839-8706
Practice Address - Street 1:3901 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6733
Practice Address - Country:US
Practice Address - Phone:910-395-2772
Practice Address - Fax:910-799-9170
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1276DT152W00000X
NC1222152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist