Provider Demographics
NPI:1467484832
Name:HALSCHEID, HARRY NICHOLAS (OD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:NICHOLAS
Last Name:HALSCHEID
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1450 E BOOT RD
Mailing Address - Street 2:SUITE 700B
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5300
Mailing Address - Country:US
Mailing Address - Phone:610-696-1368
Mailing Address - Fax:610-430-2079
Practice Address - Street 1:1450 E BOOT RD
Practice Address - Street 2:SUITE 700B
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5300
Practice Address - Country:US
Practice Address - Phone:610-696-1368
Practice Address - Fax:610-430-2079
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG-000322152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU87083Medicare UPIN
051283JRSMedicare PIN