Individual
DEREK R HEIMLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 984-5133
Mailing address
4445 LAKE FOREST DR, STE 600, BLUE ASH, OH 45242-3744
(513) 569-3741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006876
OH
Other
Enumeration date
07/12/2020
Last updated
04/19/2021
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