Provider Demographics
NPI:1508867953
Name:DUHAIME, HALEY A (OD)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:A
Last Name:DUHAIME
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:HALEY
Other - Middle Name:A
Other - Last Name:UNKEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:6140 SCHLONEGER DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44641-9064
Mailing Address - Country:US
Mailing Address - Phone:614-395-1265
Mailing Address - Fax:
Practice Address - Street 1:503 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:OH
Practice Address - Zip Code:44641-1421
Practice Address - Country:US
Practice Address - Phone:330-875-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5513152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHV00388Medicare UPIN
OH4136792Medicare ID - Type Unspecified