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Organization

HECKER OPHTHALMOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHRYN J HECKER MD (OWNER)
(336) 274-7771
Entity
Organization

Contact information

Practice address
1507 WESTOVER TER STE C, GREENSBORO, NC 27408-7121
(336) 274-7771
(336) 274-2024
Mailing address
1507 WESTOVER TER STE C, GREENSBORO, NC 27408-7121
(336) 274-7771
(336) 274-2024

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9700982
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01816
BCBS
NC
01
18146
PARTNERS MEDICARE CHOICE
NC
05
891069A
NC
01
CN8607
MEDICARE RAILROAD
NC
Enumeration date
12/06/2006
Last updated
03/17/2018
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