Individual
DR. DOUGLAS BERNARD HEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0689210001
PALMETTO GBA
NC
01
—
09368
BCBS OF NC
NC
01
—
2270715
UNITED HEALTHCARE OF NC
NC
01
—
410008039
RAILROAD MEDICARE
NC
05
—
7909368
—
NC
Enumeration date
01/03/2007
Last updated
09/23/2009
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