Individual
DR. BRYAN J. HEITMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Update your record
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