Provider Demographics
NPI:1508054867
Name:HASZTO, MICHELLE MAUREEN (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:MAUREEN
Last Name:HASZTO
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 1:6160 SPRINGFORD DR
Mailing Address - Street 2:UNIT D-7
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-6991
Mailing Address - Country:US
Mailing Address - Phone:717-439-1972
Mailing Address - Fax:
Practice Address - Street 1:200 KOCHER LN
Practice Address - Street 2:
Practice Address - City:ELIZABETHVILLE
Practice Address - State:PA
Practice Address - Zip Code:17023-8716
Practice Address - Country:US
Practice Address - Phone:717-362-4449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001591152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist