Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HALEY PENROD, OD
ActiveDR. HALEY PENROD, OD is a Optometrist healthcare provider located in RIVERDALE, Georgia. NPI 1922520501 is currently active in the NPPES registry. Verify at CMS.
Optometrist · RIVERDALE, GA
Registration Details
- NPI Number
- 1922520501
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2017 (8.8960031933502 yrs)
- Last Updated
- Oct 6, 2020
- Licenses
-
3045 (GA)OPT003045 (GA)2428 (AZ)
Practice Information
- Address
-
131 UPPER RIVERDALE RD SWRIVERDALE, GA, 302742540Browse GA providers · Browse ZIP 30274
- Phone
- 7709949913
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Vision Therapy Optometrist
- Additional Specialty
- Optometrist
Other Optometrist Providers in RIVERDALE, GA
| Name | Credential | NPI |
|---|---|---|
| FRED OSARETIN OSAYI | OD | 1861439119 |
| NIKETHA AJODHA | — | 1508147612 |
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.