Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES R HATHAWAY, OD
Active Sole ProprietorJAMES R HATHAWAY, OD is a Optometrist healthcare provider located in WORLEY, Idaho. NPI 1164516530 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WORLEY, ID
Registration Details
- NPI Number
- 1164516530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.843378294115 yrs)
- Last Updated
- Aug 8, 2008
- License
-
3479 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22225 S CAVE BAY RDWORLEY, ID, 838767788Browse ID providers · Browse ZIP 83876
- Phone
- 5099549856
- Primary Specialty
-
Optometrist
152W00000X
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.