Doctor Name: | MR. PAUL EDWIN HEARD |
NPI Number: | 1225135593 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MA1749 |
Business Practice Address: | 9 West Rd Orleans, MA - 02653 |
Business Phone Number: | 5082556394 |
Business Fax Number: | 5082551696 |
Mailing Address: | 9 West Rd, Nauset Optical ORLEANS |
State: | MA |
Postal Code: | 02653 |
Phone Number: | 5082556394 |
Fax Number: | 5082551696 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 04/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | MA1749 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |