MEDICARE: WILLIAM F HEFNER O.D.

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	1479-3	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	410032623	OTHER	KS	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316939879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM F HEFNER O.D.

Provider Business Mailing Address
First Line	:	200 SE 6TH AVE
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66603-3517
Country	:	US
Telephone Number	:	785-235-2374
Fax Number	:	785-232-0136

Provider Business Practice Location Address
First Line	:	200 SE 6TH AVE
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66603-3517
Country	:	US
Telephone Number	:	785-235-2374
Fax Number	:	785-232-0136

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	02/07/2012

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Directions to “ WILLIAM F HEFNER O.D.” Practice Location

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