Paul William Heersink, O.D. Valid NPI

Individual provider · Optometrist · Monte Vista, CO

NPI

1750367231

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

990 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2005-12-16

Last updated

2010-07-14