Provider Demographics
NPI:1679145882
Name:CAITLYN HARING, OD, PLLC
Entity Type:Organization
Organization Name:CAITLYN HARING, OD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAITLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:304-612-0801
Mailing Address - Street 1:360 MOUNT KIMBERLY RD
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WV
Mailing Address - Zip Code:26354-8122
Mailing Address - Country:US
Mailing Address - Phone:304-612-0801
Mailing Address - Fax:
Practice Address - Street 1:9603 MALL RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-8540
Practice Address - Country:US
Practice Address - Phone:304-983-6699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty