DALE D HEASTON

HEASTON VISION CLINIC INC PS

Dr DALE D HEASTON is a male medical professional, specializing in Optometry. He graduated in 1976 from Illinois College Of Optometry At Chicago.

Contact

HEASTON VISION CLINIC INC PS

1321 AARON DR
RICHLAND
WA
993524678

Tel: 5099433171

DALE D HEASTON Information

Npi 1003924374
Pac Id 2062507858
Professional Enrollment Id I20120130000847
Last Name HEASTON
First Name DALE
Middle Name D
Suffix
Gender M
Credential
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1976
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HEASTON VISION CLINIC INC PS
Group Practice Pac Id 0941199285
Number Of Group Practice Members 5
Line 1 Street Address 1321 AARON DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RICHLAND
State WA
Zip Code 993524678
Phone Number 5099433171
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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