Provider Demographics
NPI:1477609667
Name:LEARMAN, HAL (OD)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:
Last Name:LEARMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 S READING RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-2044
Mailing Address - Country:US
Mailing Address - Phone:248-646-1606
Mailing Address - Fax:
Practice Address - Street 1:32987 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-0958
Practice Address - Country:US
Practice Address - Phone:248-549-9080
Practice Address - Fax:248-549-4770
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002656152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN26930200Medicare PIN