Organization
JENNIFER L. HEIL, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LEE HEIL O.D. (OPTOMETRIST)
(812) 327-4032
Entity
Organization
Contact information
Practice address
524 E MORGAN ST, SPENCER, IN 47460-1544
(812) 829-2291
(812) 829-6131
Mailing address
5110 N BRUMMETTS CREEK RD, BLOOMINGTON, IN 47408-9616
(812) 327-4032
(812) 829-6131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003546AB
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200914930
—
IN
01
—
258950
MEDICARE PTAN
IN
Enumeration date
02/26/2010
Last updated
01/22/2024
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