Jetton, Heather M.

Jetton, Heather M. is an individual health care provider with primary practice located at 400 Westhampton Sta , Richmond VA 23226-3330. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jetton, Heather M. can be contacted via phone (804) 287-4200.

Contact Information

Primary practice address
400 Westhampton Sta Richmond VA 23226-3330
Phone: (804) 287-4200
Fax: (804) 287-4210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0300000348 Vermont
Eye and Vision Services Providers / Optometrist 152W00000X 4543 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X 0618002640 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X 8163077-9934 Utah

Profile Details

NPI number 1699742684
LBN Legal business name Jetton, Heather M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 22nd, 2018 - about 8 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 1699742684 NPPES
Massachusetts Other 36991 HEALTH NEW ENGLAND
Massachusetts Other 454300 HEALTH NEW ENGLAND
Massachusetts Other AA46054 HEALTH NEW ENGLAND
Massachusetts Other W16443 HEALTH NEW ENGLAND
Massachusetts MEDICAID 0704598 HEALTH NEW ENGLAND

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