Individual
DR. BRYAN J. HEITMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8009 S 180TH ST STE 104, KENT, WA 98032-1042
(425) 251-9200
(425) 251-9201
Mailing address
8009 S 180TH ST STE 104, KENT, WA 98032-1042
(425) 251-9200
(425) 251-9201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003905
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2188HE
REGENCE
WA
01
—
226820
LABOR & INDUSTRY
WA
01
—
2730027
UNITED HEALTHCARE
WA
01
—
7364884
AETNA
WA
Enumeration date
02/24/2007
Last updated
06/27/2011
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