Organization
HEASTON VISION CLINIC INC PS
Active
Other names
Heaston & Thompson Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE D HEASTON O.D. (OWNER)
(509) 943-3171
Entity
Organization
Contact information
Practice address
1321 AARON DR, RICHLAND, WA 99352-4678
(509) 943-3171
(509) 946-0905
Mailing address
PO BOX 610, RICHLAND, WA 99352-0610
(509) 943-3171
(509) 946-0905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410016629
RAILROAD MEDICARE
WA
Enumeration date
03/22/2007
Last updated
07/02/2014
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