Provider Demographics
NPI:1609155431
Name:HASWELL, AIMEE LAM (OD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:LAM
Last Name:HASWELL
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 1:70 WILDERS WOODS GROVE LN
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-9055
Mailing Address - Country:US
Mailing Address - Phone:334-354-8064
Mailing Address - Fax:
Practice Address - Street 1:100 BUTTERNUT LN
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5868
Practice Address - Country:US
Practice Address - Phone:919-550-4801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7821T152W00000X
NC2313152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist