NPI 1124154315

Bryan J. Heitmeyer, OD

Practitioner Optometrist Kent, WA

Practice location

Address: 8009 S 180th St STE 104, Kent, WA 98032-1042
Phone: (425) 251-9200
Fax: (425) 251-9201

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD00003905 (WA)

Other Optometrist providers in Washington →

Registry record

NPI: 1124154315
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Feb 2007
Record last updated: 27 Jun 2011

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.