Leo Frank Hettiger, OPTOMETRIST

NPI #1821052846 in Flora, Illinois

Provider Information

NPI Number: 1821052846
Entity Type: Individual
Name: Leo Frank Hettiger, OPTOMETRIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist - Sports Vision
Credential: OPTOMETRIST
Enumeration Date: Apr 14, 2006
Last Updated: Feb 28, 2013

Practice Location

Address: 1205 N OLIVE RD
City: Flora
State: Illinois
ZIP Code: 62839-2344
Phone: (618) 662-4045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Sports Vision — Sports Vision	152WS0006X	Primary

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