| Dr Diana L Haskins, OD | |
|
1761 M 139, Benton Harbor, MI 49022-6101 | |
| (269) 934-0424 | |
| (269) 934-0570 |
| Full Name | Dr Diana L Haskins |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1761 M 139, Benton Harbor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811065469 | NPI | - | NPPES |
| 1811065469 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 046-008855 (Illinois) | Secondary |
| 152W00000X | Optometrist | 4901004811 (Michigan) | Primary |
| Provider Name | Myeyedr Optometry Of Michigan, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639723596 PECOS PAC ID: 7416288949 Enrollment ID: O20191014002048 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diana L Haskins, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Dr Diana L Haskins, OD 1761 M 139, Benton Harbor, MI 49022-6101 Ph: (269) 934-0424 |
Myeyedr Optometry Of Michigan, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1761 M 139, Benton Harbor, MI 49022 Phone: 269-934-0424 Fax: 269-934-0570 | |
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1761 S M-139, Benton Harbor, MI 49023 Phone: 269-934-0424 | |
Melanie Jankowski Jones, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1800 Pipestone Rd, Orchards Mall, Benton Harbor, MI 49022 Phone: 269-924-2406 Fax: 269-927-2157 | |
Jaimie Lynn Church, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1860 Pipestone Rd, Benton Harbor, MI 49022 Phone: 616-927-5868 Fax: 616-934-9485 |