Dr.David Heavner & Associates

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TA0884 Issued in MD

Legal business name

DR.DAVID HEAVNER & ASSOCIATES

Practice address

45155 First Colony Way
California, MD 20619-2416

Phone

(301) 862-4718

Fax

(301) 862-3420

NPI assigned

Aug 4, 2015

Last updated

Aug 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Douglas Heavner, OD

Title

OD/President

Phone

(301) 862-4718

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1326424011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45155 FIRST COLONY WAY",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192416",
            "telephone_number": "301-862-4718",
            "fax_number": "301-862-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45155 FIRST COLONY WAY",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192416",
            "telephone_number": "301-862-4718",
            "fax_number": "301-862-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.DAVID HEAVNER & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "HEAVNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OD/PRESIDENT",
        "authorized_official_telephone_number": "301-862-4718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA0884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corneal and Contact Management Optometrist in California, MD
• Providers in California, MD by specialty
• Corneal and Contact Management Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.