Provider Demographics
NPI:1710959580
Name:HAYS, DAVID S (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:HAYS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8204 27TH ST W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-2719
Mailing Address - Country:US
Mailing Address - Phone:253-564-9262
Mailing Address - Fax:253-564-0996
Practice Address - Street 1:8204 27TH ST W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-2719
Practice Address - Country:US
Practice Address - Phone:253-564-9262
Practice Address - Fax:253-564-0996
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00002884152W00000X, 152WC0802X, 152WP0200X, 152WS0006X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2000784Medicaid
WA2000784Medicaid
WAG8864344Medicare PIN