Whalio Doctors

NPI 1407832603

Phillip C Heinemann, OD

Practitioner Optometrist North Little Rock, AR

Practice location

Address
3930 McCain Blvd Sears Optical, North Little Rock, AR 72116-8055
Phone
(501) 758-0568
Fax
(501) 758-0568

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2328 (AR)

Registry record

NPI
1407832603
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Dec 2005
Record last updated
23 Jun 2008

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.