Individual
ALISHA M HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1901 E SELTICE WAY, POST FALLS, ID 83854-9647
(208) 667-2531
(208) 765-9385
Mailing address
16010 E INDIANA AVE, SPOKANE VALLEY, WA 99216-1813
(509) 928-8040
(509) 928-0784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
809
MT
152W00000X
Optometrist
Primary
ODP-100199
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659605848
—
ID
05
—
2071233
—
WA
Enumeration date
09/22/2009
Last updated
02/05/2024
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