| Doctor Name: | MR. DANIEL CHARLES HASELTON |
| NPI Number: | 1609047380 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OPTICIAN |
| License Number: | NH184 |
| Business Practice Address: | 200 S Main St Suite 11 West Lebanon, NH - 037842014 |
| Business Phone Number: | 6032985517 |
| Business Fax Number: | 6032987898 |
| Mailing Address: | 200 S Main St, Suite 11 WEST LEBANON |
| State: | NH |
| Postal Code: | 037842014 |
| Phone Number: | 6032985517 |
| Fax Number: | 6032987898 |
| NPI Enumeration Date: | 03/20/2008 |
| NPI Last Update Date: | 03/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | NH184 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |