Individual
DR. SAYGE M HEINTZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3200 MAIN ST, VANCOUVER, WA 98663-2753
(360) 696-4691
(360) 696-2078
Mailing address
PO BOX 61896, VANCOUVER, WA 98666-1896
(360) 696-4691
(360) 696-2078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60032052
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8885863
MEDICARE
WA
Enumeration date
09/04/2008
Last updated
11/08/2012
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