Organization
PAUL H HEAVNER
Active
Other names
BRUNSWICK FAMILY VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI DENEEN HEAVNER (OFFICE MANAGER)
(301) 834-6400
Entity
Organization
Contact information
Practice address
60 SOUDER ROAD, BRUNSWICK FAMILY VISION CENTER, BRUNSWICK, MD 21716
(301) 834-6400
(301) 834-7585
Mailing address
60 SOUDER ROAD, BRUNSWICK FAMILY VISION CENTER, BRUNSWICK, MD 21716
(301) 834-6400
(301) 834-7585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1121
MD
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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