Individual
COLTON MARK HEINRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2575 YORBA LINDA BLVD, FULLERTON, CA 92831-1615
(714) 449-7401
Mailing address
2575 YORBA LINDA BLVD, FULLERTON, CA 92831-1615
(714) 449-7401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT15222
CA
152WC0802X
Corneal and Contact Management Optometrist
OPT15222
CA
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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