NPI 1063634657 · live from the CMS NPI Registry
Michael George Hagar, O.D.
Optometrist in Norristown, PA. National Provider Identifier 1063634657, active.
NPI record
| NPI | 1063634657 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 101 Buttonwood St, Norristown, PA 19401 |
| Practice phone | 207-899-9719 |
| Mailing address | Po Box 842, Gray, ME 04039 |
| Enumerated | May 3, 2007 |
| Last updated | September 3, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT796TA (ME) |
| Optometrist | 152W00000X | OE007657P (PA) |
| Optometrist | 152W00000X | OP2470 (NM) |
| Optometrist | 152W00000X | OPT796 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.