Individual
DR. PAUL WILLIAM HEERSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
101 CHICO CT, SUITE B, MONTE VISTA, CO 81144-1067
(719) 852-3412
(719) 852-3345
Mailing address
101 CHICO CT, SUITE B, MONTE VISTA, CO 81144-1067
(719) 852-3412
(719) 852-3345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
990
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08009904
—
CO
Enumeration date
12/16/2005
Last updated
07/14/2010
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