Bourdeau, Heather Anne
Bourdeau, Heather Anne is an sole proprietor health care provider with primary practice located at 587 Hartford Ave , White River Junction VT 05001-8031. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Bourdeau, Heather Anne can be contacted via phone (802) 295-4887.Contact Information
Primary practice address
587 Hartford Ave
White River Junction VT 05001-8031
Phone: (802) 295-4887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 4373-TP | Massachusetts |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 030.0133973 | Vermont |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 4373-TP | Massachusetts |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4373-TP | Massachusetts |
Profile Details
| NPI number | 1851457030 |
|---|---|
| LBN Legal business name | Bourdeau, Heather Anne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jan 30th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851457030 | NPPES |
| Massachusetts | Other | 7940836 | AETNA |
| Massachusetts | MEDICAID | 0323501 | AETNA |
| Massachusetts | Other | AA85035 | AETNA |
| Massachusetts | Other | W16497 | AETNA |
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