| Doctor Name: | JEROME J HEIN |
| NPI Number: | 1346415544 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | A.B.O/F.N.A.O |
| License Number: | 03945 |
| Business Practice Address: | 132 N Central Ave Richland Center, WI - 535812225 |
| Business Phone Number: | 6086477369 |
| Business Fax Number: | |
| Mailing Address: | 132 N Central Ave, RICHLAND CENTER |
| State: | WI |
| Postal Code: | 535812225 |
| Phone Number: | 6086477369 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2008 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 03945 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |