Individual
LINDA L HEISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1 GRANITE POINT DR, STE 100, WYOMISSING, PA 19610-1986
(610) 378-1344
(610) 378-5159
Mailing address
1 GRANITE POINT DR, SUITE 100, READING, PA 19610-1986
(610) 378-1344
(610) 378-5169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000735
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410032353
RAILROAD MEDICARE
PA
Enumeration date
06/22/2005
Last updated
06/24/2008
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