Provider Demographics
NPI:1295280154
Name:HAYLEY EYE CLINIC, PC.
Entity type:Organization
Organization Name:HAYLEY EYE CLINIC, PC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HAYLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:940-723-2020
Mailing Address - Street 1:1529 HIGHWAY 380 BYP
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-2323
Mailing Address - Country:US
Mailing Address - Phone:940-549-1621
Mailing Address - Fax:940-549-6295
Practice Address - Street 1:1529 380 BYP
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-2323
Practice Address - Country:US
Practice Address - Phone:940-723-2020
Practice Address - Fax:940-723-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2530TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1295043537Medicare PIN
TX1902839889Medicare PIN
TX1891958294Medicare PIN
TX1487687323Medicare PIN