Individual
MR. MICHAEL E HEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2505 S 38TH ST, SUITE A-108, TACOMA, WA 98409-7375
(253) 472-1188
(253) 472-3594
Mailing address
2505 S 38TH ST, SUITE A-108, TACOMA, WA 98409-7375
(253) 472-1188
(253) 472-3594
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001426TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003416
—
WA
01
—
G8889817
MEDACARE PIN SOUTH CENTER
WA
01
—
G8889818
MEDICARE PTAN SOUTH CENTER
WA
01
—
GAB16987
MEDICARE PTAN TACOMA
WA
Enumeration date
12/19/2005
Last updated
01/14/2014
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