Individual
RICHARD B HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1801 W 8TH ST, ERIE, PA 16505-4938
(814) 455-8004
(814) 456-6054
Mailing address
1801 W 8TH ST, ERIE, PA 16505-4938
(814) 455-8004
(814) 456-6054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001090
PA
Other
Enumeration date
02/16/2006
Last updated
08/31/2010
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