Terri L Haley (NPI# 1114929817, PAC ID# 8022083302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1114929817 |
| PAC ID by PECOS | 8022083302 |
| Professional Enrollment ID | I20040831000251 |
| Full Name | Terri L Haley |
| Organization Legal Name | SHOPTIKAL LLC |
| Address |
2120 Thain Grade Lewiston ID 83501-4105 |
| Phone Number | 2087461050 |
| Gender | F |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2001 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1456684471 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 212 W Ironwood Dr, Suite Bandc, Coeur D Alene, ID 83814-1403 | 2087658078 | SHOPTIKAL LLC |
| 2120 Thain Grade, Lewiston, ID 83501-4105 | 2087461050 | SHOPTIKAL LLC |
| Organization Legal Name | SHOPTIKAL LLC |
| Physicians | 92 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katelyn Jo Hasken | Optometry | Shoptikal LLC | 1918 Gateway Ctr Dr, Belvidere, IL 61008-9303 |
| Brianna Kelly Burns | Optometry | Shoptikal LLC | 10996 N Port Washington Rd, Mequon, WI 53092-5031 |
| Nicholas J Roovers | Optometry | Shoptikal LLC | 4530 Calumet Ave, Suite 103, Manitowoc, WI 54220-9346 |
| Alicja J Fitzgerald | Optometry | Shoptikal LLC | 1500 S Church St, Watertown, WI 53094-6404 |
| Jacob Wittman | Optometry | Shoptikal LLC | 1810 Jackson St, Oshkosh, WI 54901-2204 |
| David J Slagowski | Optometry | Shoptikal LLC | 616 W Johnson St, Fond Du Lac, WI 54935-3134 |
| John T Gingrich | Optometry | Shoptikal LLC | 316 S 24th St W, Suite 101b, Billings, MT 59102-5605 |
| Chad R Slagle | Optometry | Shoptikal LLC | 2787 Milwaukee Rd, Suite A, Beloit, WI 53511-6919 |
| Robert K Rudman | Optometry | Shoptikal LLC | 1340 N Wenatchee Ave, Wenatchee, WA 98801-1558 |
| Amanda R Cheek | Optometry | Shoptikal LLC | 1425 Janesville Ave, Fort Atkinson, WI 53538-2705 |
| Street Address |
2120 THAIN GRADE |
| City | LEWISTON |
| State | ID |
| Zip | 83501-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin M Harris | Optometry | Shoptikal LLC | 2120 Thain Grade, Lewiston, ID 83501-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori L Holder | Clinical Social Worker | 504 Main St, Suite 472, Lewiston, ID 83501-1806 | |
| Thomas R Boyer | Chiropractic | 717 D St, Lewiston, ID 83501-1826 | |
| Rebecca A Bohnenkamp | Clinical Social Worker | 523 /2 Main St, Suite 7, Lewiston, ID 83501-1870 | |
| Kristy Anne Kuehfuss | Psychologist, Clinical | 633 Main St, Suite B2, Lewiston, ID 83501-1882 | |
| Clinton R Morgan | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Alice Myra Forsythe | Medical Oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| John Siebel | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Michele R Dickison | Nurse Practitioner | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Debra L Street | Clinical Social Worker | 0309 2nd St, Lewiston, ID 83501-2163 | |
| Mark F Yama | Psychologist, Clinical | 428 6th Ave, Lewiston, ID 83501-2355 | |
| Find all physicians in zip 83501 | |||
| City | LEWISTON |
| Zip Code | 83501 |
| Specialty | OPTOMETRY |
| City + Specialty | LEWISTON + OPTOMETRY |
Please comment or provide details below to improve the information on Terri L Haley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.