Organization
HETZLER OCULAR PROSTHETIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY J HETZLER B.C.O. (PRESIDENT)
(317) 598-6298
Entity
Organization
Contact information
Practice address
130 TRI COUNTY PKWY, STE 201, CINCINNATI, OH 45246-3235
(513) 771-6029
Mailing address
130 TRI COUNTY PKWY, STE 201, CINCINNATI, OH 45246-3235
(513) 771-6029
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
0.11
OH
335E00000X
Prosthetic/Orthotic Supplier
O.11
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029685
ANTHEM BCBS
OH
05
—
2046995
—
OH
05
—
90000902
—
KY
01
—
A1789
CHOICECARE
OH
Enumeration date
06/21/2005
Last updated
09/11/2025
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