Organization
HEFFRON FAMILY EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMISON J HEFFRON O.D. (OWNER)
(270) 629-2015
Entity
Organization
Contact information
Practice address
507 S L ROGERS WELLS BLVD, SUITE E, GLASGOW, KY 42141-1043
(270) 629-2015
(270) 629-2016
Mailing address
507 S L ROGERS WELLS BLVD, SUITE E, GLASGOW, KY 42141-1043
(270) 629-2015
(270) 629-2016
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701319100
—
KY
Enumeration date
05/29/2008
Last updated
07/27/2015
Update your record
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