| Doctor Name: | LAURA MEADE HEATON |
| NPI Number: | 1063681500 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OPTICIAN |
| License Number: | 734 |
| Business Practice Address: | 1598 Sandifer Blvd Ste J Seneca, SC - 296780929 |
| Business Phone Number: | 8648823255 |
| Business Fax Number: | |
| Mailing Address: | 1598 Sandifer Blvd Ste J, SENECA |
| State: | SC |
| Postal Code: | 296780929 |
| Phone Number: | 8648823255 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2008 |
| NPI Last Update Date: | 02/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 734 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |