Organization
DR.DAVID HEAVNER & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DOUGLAS HEAVNER OD (OD/PRESIDENT)
(301) 862-4718
Entity
Organization
Contact information
Practice address
45155 FIRST COLONY WAY, CALIFORNIA, MD 20619-2416
(301) 862-4718
(301) 862-3420
Mailing address
45155 FIRST COLONY WAY, CALIFORNIA, MD 20619-2416
(301) 862-4718
(301) 862-3420
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TA0884
MD
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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