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NPI Code Detail

MEDICARE: DR. DIANE BETH HEYMAN

MEDICARE:  DR. DIANE BETH HEYMAN
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
1152W00000XOptometrist046-007684IL

General Provider Information

NPI Number : 1013923663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANE BETH HEYMAN
Provider Business Mailing Address
First Line : 20 BAYLES CT
Second Line :
City : PAXTON
State : IL
Zip : 60957-1868
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 220 E 1ST ST
Second Line :
City : GIBSON CITY
State : IL
Zip : 60936-1704
Country : US
Telephone Number : 217-784-4912
Fax Number : 217-784-4912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 08/14/2008

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Directions to “ DR. DIANE BETH HEYMAN ” Practice Location

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