Individual
DR. HEAVIN BORTZ MAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2970AT
OR
152W00000X
Optometrist
Primary
3911
WA
152W00000X
Optometrist
ODP-100061
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191247
LABOR AND INDUSTRY
WA
05
—
2029569
—
WA
Enumeration date
12/21/2005
Last updated
09/17/2021
Update your record
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