Dale D Heaston
Optometrist
1321 Aaron Dr
Richland
, Washington 99352-4678
Dale D Heaston
Optometrist
1321 Aaron Dr
Richland
, Washington 99352-4678
(509) 946-0905
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dale D Heaston
- 1321 Aaron Dr Po Box 610
- Richland, WA
- Zip : 99352-4678
- Fax : (509) 946-0905
- Phone : (509) 943-3171
Second Address
- Dale D Heaston
- 1321 Aaron Dr
- Richland, WA
- Zip : 99352-4678
- Fax : (509) 946-0905
- Phone : (509) 943-3171
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1129 | WA |
National Provider Identifier
| NPI | 1003924374 |
|---|---|
| Provider Name | Dale D Heaston |
| First Address | Richland, WA 99352-4678 |
| Second Address | Richland, WA 99352-4678 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2006 |
| Last Update Date | 07/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0144211 | WA LABOR & INDUSTRY (01) | WA |
| 11102 | GROUP HEALTH (01) | |
| 121730 | DEA (01) | |
| 4100016629 | RAILROAD MEDICARE (01) | |
| HE6761 | BLUE CROSS BLUE SHIELD (01) | |
| U22117 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.