Individual
PHILLIP C HEINEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3930 MCCAIN BLVD, SEARS OPTICAL, NORTH LITTLE ROCK, AR 72116-8055
(501) 758-0568
(501) 758-0568
Mailing address
3930 MCCAIN BLVD, SEARS OPTICAL, NORTH LITTLE ROCK, AR 72116-8055
(501) 758-0568
(501) 758-0568
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2328
AR
Other
Enumeration date
12/20/2005
Last updated
06/23/2008
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