Dale Hasty

LBN: Dale Hasty
Dale Hasty is an health care organization with primary practice located at 605 N Main St , Shelbyville TN 37160-3210. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dale Hasty can be contacted via phone (931) 684-2020, or through Hasty, Kenneth Dale via phone (934) 684-2020.

Contact Information

Primary practice address
605 N Main St Shelbyville TN 37160-3210
Fax: (931) 684-7000
Website:
Authorized official contact:
Name: Hasty, Kenneth Dale Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODT001018 Tennessee

Profile Details

NPI number 1245490630
LBN Legal business name Dale Hasty
DBA Doing business as
Authorized official Hasty, Kenneth Dale Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245490630 NPPES
Tennessee Other 0752740001 PALMETTO
Tennessee Other 0075676 PALMETTO

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