Provider Demographics
NPI:1487388401
Name:WENDY S HALLIER OD
Entity type:Organization
Organization Name:WENDY S HALLIER OD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-816-4115
Mailing Address - Street 1:667 CANTER CT
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-4026
Mailing Address - Country:US
Mailing Address - Phone:740-816-4115
Mailing Address - Fax:
Practice Address - Street 1:35901 CHESTER RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1005
Practice Address - Country:US
Practice Address - Phone:440-937-4765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-14
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty