Individual
ROBERT WILBERT HEGERMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
855 VIKINGS PKWY STE B, EAGAN, MN 55121-1187
(651) 280-4420
(651) 280-4155
Mailing address
855 VIKINGS PKWY STE B, EAGAN, MN 55121-1187
(651) 280-4420
(651) 280-4155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2489000
MN
152WC0802X
Corneal and Contact Management Optometrist
2489000
MN
152WP0200X
Pediatric Optometrist
2489000
MN
152WS0006X
Sports Vision Optometrist
2489000
MN
152WX0102X
Occupational Vision Optometrist
2489000
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110177
UCARE
MN
01
—
2200925
MEDICA
MN
01
—
3C951HE
BLUE CROSS BLUE SHIELD
MN
05
—
948722100
—
MN
01
—
HP23908
HEALTH PARTNERS
MN
01
—
OD0001
AMERICAS PPO
—
01
—
XX1901014939
PREFERRED ONE
MN
Enumeration date
10/12/2006
Last updated
04/01/2025
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