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Sally Hacking, O.D
NPI 1609982271 · on the registry since 2006
Practice
- Address
- 244 E Main St
Rexburg, ID 83440 - Phone
- (208) 359-1880
- Fax
- (208) 359-2025
- Organisation at this address
- Madison Clinic Optometry, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho