Theffron and Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5042 T1919 Issued in OH

Legal business name

THEFFRON AND ASSOCIATES LLC

Doing business as

tracy heffron od

Practice address

1530 Walmart Dr
Lebanon, OH 45036-7342

Phone

(513) 932-2993

NPI assigned

May 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tracy Heffron, OD

Title

Optometrist

Phone

(513) 934-1152

Specialties & licenses 1

Addresses

Other names 1

• tracy heffron od Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1073747036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 WILMINGTON RD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368917",
            "telephone_number": "513-934-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 WALMART DR",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367342",
            "telephone_number": "513-932-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEFFRON AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "HEFFRON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "513-934-1152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5042 T1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tracy heffron od",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.