Individual
MICHELLE HEJNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
500 GATE CITY HWY, SPACE 405, BRISTOL, VA 24201-2372
(276) 466-6173
(276) 669-0570
Mailing address
2829 E OAKLAND AVE, #1, JOHNSON CITY, TN 37601-1347
(423) 283-4590
(423) 283-0867
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000563
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009236295
—
VA
Enumeration date
03/10/2006
Last updated
03/24/2010
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