Individual
PAMELA HEIPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1700 W NEW HAVEN AVE, JCPENNEY OPTICAL, MELBOURNE, FL 32904-3919
(321) 727-8807
(321) 676-1541
Mailing address
3330 WESTLAND, MELBOURNE, FL 32934-7859
(321) 508-0793
(321) 676-1541
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4813
TX
152W00000X
Optometrist
Primary
OPC002725
FL
Other
Enumeration date
12/01/2006
Last updated
02/18/2014
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