Individual
DR. HEATHER M. JETTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0300000348
VT
152W00000X
Optometrist
Primary
0618002640
VA
152W00000X
Optometrist
4543
MA
152W00000X
Optometrist
8163077-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704598
—
MA
01
—
36991
HEALTH NEW ENGLAND
MA
01
—
454300
CONNECTICARE, INC.
MA
01
—
AA46054
HARVARD PILGRIM HEALTHCAR
MA
01
—
W16443
BLUE CROSS BLUE SHIELD OF
MA
Enumeration date
03/08/2006
Last updated
03/22/2018
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