NPI 1003090556

Gregory D Heaton OD PA

Organisation Optometrist Jay, FL

Practice location

Address: 14088 Alabama St, Jay, FL 32565-1036
Phone: (850) 675-0625
Mailing address: PO Box 25, Jay, FL 32565-0025

Authorised official

Name: Angel Kelley
Title: Delegated Official
Phone: (850) 675-0625

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC3531 (FL)

Other Optometrist providers in Florida →

Registry record

NPI: 1003090556
Entity type: Organization
NPI issued: 19 Dec 2007
Record last updated: 15 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.