Organization
JULIE M HEIDISH OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE M. HEIDISH O.D. (PRESIDENT)
(740) 983-6171
Entity
Organization
Contact information
Practice address
3384 STATE ROUTE 752, ASHVILLE, OH 43103-9685
(740) 983-6171
(740) 983-6587
Mailing address
3384 STATE ROUTE 752, ASHVILLE, OH 43103-9685
(740) 983-6171
(740) 983-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4661
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306843727
INDIVIDUAL NPI
OH
01
—
1669509428
INDIVIDUAL NPI
OH
01
—
1851584148
GROUP NPI
OH
Enumeration date
08/21/2007
Last updated
12/26/2012
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