Individual
DR. CRYSTAL S HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09833
NC HEALTH CHOICE
NC
01
—
10261
OPTICARE
NC
01
—
22-42466
UNITED HEALTHCARE
NC
01
—
271874
MAMSI
NC
01
—
89-09833
NC DIVISION OF THE BLIND
NC
05
—
89-09833
—
NC
01
—
NC0990
EYEMED VISION CARE
NC
Enumeration date
10/27/2005
Last updated
11/01/2012
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