Haynes, William Earl

Haynes, William Earl is an sole proprietor health care provider with primary practice located at 3008 N 24Th St 3008 N 24Th St, Omaha NE 68110-2026. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometric Technician, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is his primary health care specialty. Haynes, William Earl can be contacted via phone (402) 451-0539.

Contact Information

Primary practice address
3008 N 24Th St 3008 N 24Th St Omaha NE 68110-2026
Phone: (402) 451-0539
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometric Technician 156FX1202X 033114 Nebraska
Eye and Vision Services Providers / Optician 156FX1800X 033114 Nebraska

Profile Details

NPI number 1861708034
LBN Legal business name Haynes, William Earl
Credentials CERTIFIED OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2010
Last updated Aug 26th, 2010 - about 16 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 1861708034 NPPES
Nebraska MEDICAID 4478

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