Provider Demographics
NPI:1639791551
Name:HALEY OWENS OD
Entity Type:Organization
Organization Name:HALEY OWENS OD
Other - Org Name:HOMETOWN EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:406-846-2020
Mailing Address - Street 1:410 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:DEER LODGE
Mailing Address - State:MT
Mailing Address - Zip Code:59722-1910
Mailing Address - Country:US
Mailing Address - Phone:406-846-2020
Mailing Address - Fax:406-846-2025
Practice Address - Street 1:410 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:DEER LODGE
Practice Address - State:MT
Practice Address - Zip Code:59722-1910
Practice Address - Country:US
Practice Address - Phone:406-846-2020
Practice Address - Fax:406-846-2025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty