Healthcare Provider Details

I. General information

NPI: 1003269903
Provider Name (Legal Business Name): WHITNEY HEJNY OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2016
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3542A LOOP 306
SAN ANGELO TX
76904-5944
US

IV. Provider business mailing address

3542A LOOP 306
SAN ANGELO TX
76904-5944
US

V. Phone/Fax

Practice location:
  • Phone: 325-653-0118
  • Fax: 325-653-4347
Mailing address:
  • Phone: 325-653-0118
  • Fax: 325-653-4347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number8989TG
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: