MEDICARE: DR. WHITNEY HEJNY OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	8989TG	TX

General Provider Information

NPI Number	:	1003269903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WHITNEY HEJNY OD

Provider Business Mailing Address
First Line	:	3542A LOOP 306
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904-5944
Country	:	US
Telephone Number	:	325-653-0118
Fax Number	:	325-653-4347

Provider Business Practice Location Address
First Line	:	3542A LOOP 306
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904-5944
Country	:	US
Telephone Number	:	325-653-0118
Fax Number	:	325-653-4347

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2016
Last Update Date	:	01/08/2025

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