Heitmeyer, Bryan J.
Heitmeyer, Bryan J. is an individual health care provider with primary practice located at 8009 S 180Th St Ste 104 , Kent WA 98032-1042. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Heitmeyer, Bryan J. can be contacted via phone (425) 251-9200.Contact Information
Primary practice address
8009 S 180Th St Ste 104
Kent WA 98032-1042
Phone: (425) 251-9200
Fax: (425) 251-9201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00003905 | Washington |
Profile Details
| NPI number | 1124154315 |
|---|---|
| LBN Legal business name | Heitmeyer, Bryan J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2007 |
| Last updated | Jun 27th, 2011 - about 13 years ago |
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 | 1124154315 | NPPES |
| Washington | Other | 2188HE | REGENCE |
| Washington | Other | 2730027 | REGENCE |
| Washington | Other | 7364884 | REGENCE |
| Washington | Other | 226820 | REGENCE |
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