Van Der Heyden, Terry R.

Van Der Heyden, Terry R. is an sole proprietor health care provider with primary practice located at 4060 Tamiami Trl N Suite 4, Naples FL 34103-3596. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Van Der Heyden, Terry R. can be contacted via phone (239) 261-5915.

Contact Information

Primary practice address
4060 Tamiami Trl N Suite 4 Naples FL 34103-3596
Phone: (239) 261-5915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPC001061 Florida
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X OPC001061 Florida

Profile Details

NPI number 1932191756
LBN Legal business name Van Der Heyden, Terry R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated Oct 11th, 2010 - about 16 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 1932191756 NPPES
Florida Other 410013850 RAILROAD MEDICARE

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