Heston, Robert Micheal

Heston, Robert Micheal is an sole proprietor health care provider with primary practice located at 1411 4Th St Sw , Mason City IA 50401-2752. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Heston, Robert Micheal can be contacted via phone (641) 423-7555.

Contact Information

Primary practice address
1411 4Th St Sw Mason City IA 50401-2752
Fax: (641) 423-8291
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 01526 Iowa

Profile Details

NPI number 1558368258
LBN Legal business name Heston, Robert Micheal
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Nov 13th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558368258 NPPES
Iowa MEDICAID 1068759

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