James R Hathaway, OD

NPI #1164516530 in Worley, Idaho

Provider Information

NPI Number: 1164516530
Entity Type: Individual
Name: James R Hathaway, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 3, 2006
Last Updated: Aug 8, 2008

Practice Location

Address: 22225 S CAVE BAY RD
City: Worley
State: Idaho
ZIP Code: 83876-7788
Phone: (509) 954-9856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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