Heck, Charles D.

Heck, Charles D. is an individual health care provider with primary practice located at 1705 Frederica St , Owensboro KY 42301-4814. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Heck, Charles D. can be contacted via phone (270) 683-2121.

Contact Information

Primary practice address
1705 Frederica St Owensboro KY 42301-4814
Phone: (270) 683-2121
Fax: (270) 683-3167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 945DT Kentucky

Profile Details

NPI number 1710956990
LBN Legal business name Heck, Charles D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Dec 5th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710956990 NPPES
Kentucky Other K040190 MEDICARE PTAN
Kentucky MEDICAID 77904019 MEDICARE PTAN
Kentucky Other P01058277 MEDICARE PTAN
Kentucky Other 000000354038 MEDICARE PTAN
Kentucky MEDICAID 77009454 MEDICARE PTAN

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