Rayburn S. Haddon III, OD

Optometrist · Tyler, TX

Individual Active NPI

NPI number 1861737272

Practice location

4824 S Broadway Ave
Tyler, TX 75703-1312
Phone
(901) 358-1202

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NPI record

NPI
1861737272
Entity type
Individual (Type 1)
Enumeration date
December 11, 2012
Last updated
December 11, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 4393 TX

About Dr. Haddon

Rayburn S. Haddon III, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4824 S Broadway Ave, Tyler, TX 75703-1312. The NPI number 1861737272 was assigned on December 11, 2012 and the record was last updated on December 11, 2012.

Dr. Haddon lists a license in the registry: #4393 (TX) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rayburn S. Haddon III, OD?

The NPI number is 1861737272.

What is the phone number of Dr. Haddon?

The phone number listed for the practice location is (901) 358-1202.

Where is Dr. Haddon located?

4824 S Broadway Ave, Tyler, TX 75703-1312.

What is the taxonomy code for Dr. Haddon?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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