Phillip C Heinemann, OD

NPI #1407832603 in North Little Rock, Arkansas

Provider Information

NPI Number: 1407832603
Entity Type: Individual
Name: Phillip C Heinemann, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 20, 2005
Last Updated: Jun 23, 2008

Practice Location

Address: 3930 MCCAIN BLVD
Address 2: SEARS OPTICAL
City: North Little Rock
State: Arkansas
ZIP Code: 72116-8055
Phone: (501) 758-0568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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