Organization
HEIDI SCHEFFERLY OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI L SCHEFFERLY O.D. (OPTOMETRIST)
(517) 784-6928
Entity
Organization
Contact information
Practice address
306 W WASHINGTON AVE STE 104, JACKSON, MI 49201-2141
(517) 784-6928
(517) 784-9633
Mailing address
306 W WASHINGTON AVE STE 104, JACKSON, MI 49201-2141
(517) 784-6928
(517) 784-9633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003898
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C812940
BLUE CROSS AND BLUE SHIELD OF MICHIGAN
—
Enumeration date
07/29/2008
Last updated
02/13/2009
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