Organization
DR CRYSTAL S HEFNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL S HEFNER O.D. (OWNER)
(828) 464-6030
Entity
Organization
Contact information
Practice address
130 1ST ST W, CONOVER, NC 28613-2106
(828) 464-6030
(828) 465-6339
Mailing address
PO BOX 582, CONOVER, NC 28613-0582
(828) 464-6030
(828) 465-6339
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
NC0990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09833
BLUE CROSS BLUE SHIELD NC
NC
01
—
10261
OPTICARE
NC
01
—
2242466
UNITED HEALTHCARE
NC
01
—
271874
MAMSI
NC
01
—
8909833
NC DIVISION OF THE BLIND
NC
05
—
8909833
—
NC
01
—
NC0990
EYEMED VISION CARE
NC
Enumeration date
12/18/2007
Last updated
12/18/2007
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