DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. DIANA LYNN HAERTEL

Active Sole Proprietor

Optician, Dispensing · PORTAGE, WI

Registration Details

NPI Number
1104264233
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2013 (12.865267148894 yrs)
Last Updated
Jun 11, 2013
Sole Proprietor
Yes

Practice Information

Address
215 W COOK ST
PORTAGE, WI, 539012105
Browse WI providers · Browse ZIP 53901
Phone
6087422020
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in PORTAGE, WI

Name Credential NPI
CHRISTINE SAVOY A.B.O.C. 1306004627
CHELSEY M MEDSKER ABOC, NCLEC 1144035585
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.