MEDICARE: DR. HEATHER L ALCORN 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	5282	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5282/T2191	OTHER	OH	LICENSE/THERAPEUTIC

General Provider Information

NPI Number	:	1679532345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER L ALCORN O.D

Provider Business Mailing Address
First Line	:	401 S PROSPECT AVE
Second Line	:
City	:	HARTVILLE
State	:	OH
Zip	:	44632-9401
Country	:	US
Telephone Number	:	330-319-4067
Fax Number	:

Provider Business Practice Location Address
First Line	:	4790 PORTAGE ST NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7245
Country	:	US
Telephone Number	:	330-497-8428
Fax Number	:

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

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	02/03/2017

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1649411018 — 152W00000X - OPTOMETRIST NORTH PHOENIX EYE CARE
Practice Location Address:

19401 N CAVE CREEK RD , #7
PHOENIX, AZ
85024-1801

Practice Phone: 623-229-8185
Practice Fax:

1124045323 — SAMS EAST INC
Practice Location Address:

4790 PORTAGE ST NW
NORTH CANTON, OH
44720-7245

Practice Phone: 330-497-7352
Practice Fax:

1821191453 — SAM'S CLUB OPTICAL
Practice Location Address:

4790 PORTAGE ST NW
NORTH CANTON, OH
44720-7245

Practice Phone: 330-497-5295
Practice Fax:

1629679683 — DR. MATTHEW TEAGUE PHARM. D
Practice Location Address:

4790 PORTAGE ST NW
NORTH CANTON, OH
44720-7245

Practice Phone: 330-497-7352
Practice Fax:

1104428721 — KIMBERLY ANNE RICHTERMAN RPH
Practice Location Address:

4790 PORTAGE ST NW
NORTH CANTON, OH
44720-7245

Practice Phone: 330-497-7352
Practice Fax:

Directions to “ DR. HEATHER L ALCORN O.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.