Individual
DR. JOHN C. HEIBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D., F.A.A.O.
Contact information
Practice address
156 WOODROW AVE, SUITE # 1, SAINT CLAIRSVILLE, OH 43950-1196
(740) 695-2860
(740) 695-1466
Mailing address
156 WOODROW AVE, SUITE # 1, SAINT CLAIRSVILLE, OH 43950-1196
(740) 695-2860
(740) 695-1466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2873/T481
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0447562
MEDICARE MEDICAL CLAIMS PTAN
OH
01
—
287306
WORKERS COMP.
OH
05
—
OH0337504
—
OH
Enumeration date
08/23/2005
Last updated
02/08/2012
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