Provider Demographics
NPI:1053397968
Name:HAYES, PAUL DENIS (OD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DENIS
Last Name:HAYES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7016 HARPS MILL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3243
Mailing Address - Country:US
Mailing Address - Phone:919-847-6889
Mailing Address - Fax:919-847-2441
Practice Address - Street 1:4905 GREEN RD STE 107B
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-2805
Practice Address - Country:US
Practice Address - Phone:919-877-9300
Practice Address - Fax:919-877-9335
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0965152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC09149Medicare UPIN
NC1312Medicare ID - Type UnspecifiedMEDICARE PROVIDER