# LEO FRANK HETTIGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821052846
- **Gender:** Man
- **Credential:** OPTOMETRIST

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WS0006X | Sports Vision Optometrist | 046007547 | IL | Yes |
| 152WS0006X | Sports Vision Optometrist | T02518 | MO | — |

## Other

- **Enumeration date:** 04/14/2006
- **Last updated:** 02/28/2013