MEDICARE: DR. LEAH HEITMEIER EYECARE & ASSOC., APOC

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

General Provider Information

NPI Number	:	1659024800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. LEAH HEITMEIER EYECARE & ASSOC., APOC

Provider Business Mailing Address
First Line	:	2582 BENT TREE BLVD
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-6100
Country	:	US
Telephone Number	:	504-762-9912
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 VETERANS BLVD STE 400
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-2667
Country	:	US
Telephone Number	:	504-762-9912
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	DR. LEAH E HEITMEIER
Credential	:	OD
Telephone Number	:	504-762-9912

Provider Enumeration Date	:	01/28/2022
Last Update Date	:	01/28/2022

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