Jon E Heitzman, O.D.

NPI #1194838375 in Jerome, Idaho

Provider Information

NPI Number: 1194838375
Entity Type: Individual
Name: Jon E Heitzman, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 15, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 2680 S LINCOLN AVE
City: Jerome
State: Idaho
ZIP Code: 83338-6128
Phone: (208) 324-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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