Whalio Doctors

NPI 1417566449

Heaven Harris, OD

Practitioner Optometrist Gonzales, LA

Practice location

Address
1004 W Highway 30, Gonzales, LA 70737-5001
Phone
(225) 647-4430
Mailing address
34520 Gravesbriar Dr, Denham Springs, LA 70706-0678

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1919-855AT (LA)

Registry record

NPI
1417566449
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Jul 2020
Record last updated
13 Dec 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.