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Contact Information

LEO F HETTIGER, OPTOMETRIST
1205 N OLIVE RD
FLORA, IL62839-2344
 Phone: 618-662-4045
 Fax: 618-662-3402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for LEO F HETTIGER · (Male)

NPI # 1821052846
Status Active
Credentials OPTOMETRIST
Entity Individual
Enumeration date 04/14/2006
Last updated 02/28/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 046007547
  • MO License # T02518
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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