Individual
CAROL J HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
422 POPLAR ST, TERRE HAUTE, IN 47807-4209
(812) 242-3700
(812) 234-3565
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3700
(812) 234-3565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001834A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089606
ANTHEM
—
01
—
410031551
RAILROAD MCARE PALAMETTO
—
01
—
P00830676
RAILROAD MEDICARE
IN
Enumeration date
08/25/2006
Last updated
08/18/2010
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