Individual
LOUIS F HEEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
631 COLISEUM DR, WINSTON-SALEM, NC 27106-5310
(336) 723-1041
(336) 716-7994
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-1332
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909371
—
NC
Enumeration date
12/19/2005
Last updated
04/23/2019
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