Individual
DR. PAMELA J HEYNE-THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1231 N STATE ROAD 39, LA PORTE, IN 46350-2042
(219) 326-7681
(219) 326-7681
Mailing address
1231 N STATE ROAD 39, LA PORTE, IN 46350-2042
(219) 326-7681
(219) 326-7681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002633
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247510A
PTAN
IN
Enumeration date
03/20/2006
Last updated
12/17/2008
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