Organization
VALLEY OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LEE HEIL OD (PRESIDENT)
(812) 829-2291
Entity
Organization
Contact information
Practice address
524 E MORGAN ST, SPENCER, IN 47460-1544
(812) 829-2291
(812) 829-6131
Mailing address
P.O. BOX 371, 524 E. MORGAN STREET, SPENCER, IN 47460-1544
(812) 829-2291
(812) 829-6131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IN
152W00000X
Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195400A
—
IN
Enumeration date
11/27/2006
Last updated
01/22/2024
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