| Organization Name: | DR.DAVID HEAVNER & ASSOCIATES |
| NPI Number: | 1326424011 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID DOUGLAS HEAVNER (OD/PRESIDENT) |
| Mailing Address: | 45155 First Colony Way California |
| State: | MD US |
| Postal Code: | 206192416 |
| Phone Number: | 3018624718 |
| Fax Number: | 3018623420 |
| NPI Enumeration Date: | 08/04/2015 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | TA0884 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |