Lodi Optometry Group

LBN: Peter V. Hetzner, O.D.
Lodi Optometry Group is an health care organization with primary practice located at 421 S Ham Ln Suite B, Lodi CA 95242-3523. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Peter V. Hetzner, O.D. can be contacted via phone (209) 368-5352, or through Hetzner, Peter via phone (209) 368-5352.

Contact Information

Primary practice address
421 S Ham Ln Suite B Lodi CA 95242-3523
Phone: (209) 368-5352
Fax: (209) 368-5355
Website:
Map and Directions
Authorized official contact:
Name: Hetzner, Peter Doctor of Optometry (OD)
Phone: (209) 368-5352

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5692TPA California

Profile Details

NPI number 1487730172
LBN Legal business name Peter V. Hetzner, O.D.
DBA Doing business as Lodi Optometry Group
Authorized official Hetzner, Peter Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Feb 15th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487730172 NPPES
California Other 0622870001 CIGNA MEDICARE
California MEDICAID SD0056920 CIGNA MEDICARE

Popular Providers