DR. John Charles Haeseker, OD

NPI #1659320752 in Peyton, Colorado

Provider Information

NPI Number
1659320752
Entity Type
Individual
Name
DR. John Charles Haeseker, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
May 8, 2006
Last Updated
Nov 14, 2007

Practice Location

Address
11550 MERIDIAN MARKET VIEW
Address 2
WALMART VISION CENTER #4335
City
Peyton
ZIP Code
80831-8233
Phone
(719) 495-5055

Specialties & Taxonomy Codes

Specialty
Optometrist

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