Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Contact Lens |
156FC0800X | |||
Contact Lens Fitter |
156FC0801X | |||
Ophthalmic Technician/Technologist |
156FX1100X |
| NPI Number | 1447383021 |
||||
| LBN Legal business name | HERITAGE VISION CENTER INC | ||||
| Authorized official | KEVIN HARRISON - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/13/2007 | ||||
| Last updated | 03/07/2013 - About 13 years ago | ||||
| Identifiers |
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