Haeder, Robert Victor

Haeder, Robert Victor is an individual health care provider with primary practice located at 5012 S Bur Oak Pl , Sioux Falls SD 57108-2228. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Haeder, Robert Victor can be contacted via phone (605) 361-1680.

Contact Information

Primary practice address
5012 S Bur Oak Pl Sioux Falls SD 57108-2228
Phone: (605) 361-1680
Fax: (605) 361-1590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T-462 South Dakota

Profile Details

NPI number 1922068873
LBN Legal business name Haeder, Robert Victor
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922068873 NPPES
South Dakota MEDICAID 9202072

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