Dr Paul William Heersink, OD | |
101 Chico Ct, Suite B, Monte Vista, CO 81144-1067 | |
(719) 852-3412 | |
(719) 852-3345 |
Full Name | Dr Paul William Heersink |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 101 Chico Ct, Monte Vista, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750367231 | NPI | - | NPPES |
08009904 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 990 (Colorado) | Primary |
Provider Name | Monte Vista Eye Care Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184747230 PECOS PAC ID: 7719163377 Enrollment ID: O20120716000032 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul William Heersink, OD 101 Chico Ct, Suite B, Monte Vista, CO 81144-1067 Ph: (719) 852-3412 | Dr Paul William Heersink, OD 101 Chico Ct, Suite B, Monte Vista, CO 81144-1067 Ph: (719) 852-3412 |
Monte Vista Eye Care Center Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 101 Chico Ct, Monte Vista, CO 81144 Phone: 719-852-3412 Fax: 719-852-3345 | |
Joshua Paul Heersink, OD Optometrist Medicare: Medicare Enrolled Practice Location: 101 Chico Ct Unit B, Monte Vista, CO 81144 Phone: 719-852-3412 | |
Dr. David N Hinkley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 37 Washington St, Monte Vista, CO 81144 Phone: 719-852-3442 Fax: 719-852-9791 |