Organization
MICHELLE HEJNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HEJNY O.D. (OWNER/DOCTOR)
(276) 466-6173
Entity
Organization
Contact information
Practice address
500 GATE CITY HWY, SPACE 405, BRISTOL, VA 24201-2372
(276) 466-6173
(276) 669-0570
Mailing address
500 GATE CITY HWY, SPACE 405, BRISTOL, VA 24201-2372
(276) 466-6173
(276) 669-0570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000563
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144298456
—
VA
Enumeration date
04/02/2012
Last updated
04/02/2012
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