Individual
DR. HEATHER L ALCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
4790 PORTAGE ST NW, NORTH CANTON, OH 44720-7245
(330) 497-8428
Mailing address
401 S PROSPECT AVE, HARTVILLE, OH 44632-9401
(330) 319-4067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5282
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5282/T2191
LICENSE/THERAPEUTIC
OH
Enumeration date
03/21/2006
Last updated
02/03/2017
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