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NPI 1104902923

IndividualActive

David Haisman, OD

NPI 1104902923 · Optometrist · Spirit Lake, IA

Provider details

NPI number: 1104902923
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: Yes
License: 046009582 (IL)

Practice location

2200 17th St

Spirit Lake, IA 51360

Phone: (712) 336-8939

Fax: (712) 336-8952

More IA providers

Mailing address

2200 17th St

Spirit Lake, IA 51360

Registry dates

Enumerated: 2006-10-27
Last updated: 2014-06-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

David Haisman, OD — NPI 1104902923, Spirit Lake, IA | NPI Central