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General NPI Number Information
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NPI Number | 1659723187
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Entity Type | Organization
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Legal Business Name | HEARTLAND FAMILY EYECARE P.L.L.C.
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 402 S OAKWOOD RD STE A
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City | ENID
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State | OK
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Zip | 73703-4945
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Country | US
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Telephone | 580-237-9379
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Fax | 580-237-9380
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Provider Business Mailing Address
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Address Line | 705 S OAKWOOD RD SUITE C1
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City | ENID
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State | OK
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Zip | 73703-6277
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Country | US
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Telephone | 580-237-9379
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Fax | 580-237-9380
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. BETHANY NICOLE HESS
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Credential | O.D.
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Telephone | 580-237-9379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2854
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License Number State | OK
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