Provider Demographics
NPI:1154352656
Name:HECKER, ERIC B (PHD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:B
Last Name:HECKER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 LOCKWOOD AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-4479
Mailing Address - Country:US
Mailing Address - Phone:757-874-4665
Mailing Address - Fax:757-874-1286
Practice Address - Street 1:802 LOCKWOOD AVE
Practice Address - Street 2:SUITE C
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4479
Practice Address - Country:US
Practice Address - Phone:757-874-4665
Practice Address - Fax:757-874-1286
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000440231H00000X
VA2101 000560237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA148932100OtherDEPT OF LABOR PROVIDER#
VA640003142OtherMEDICARE RAILROAD PROVIDE
VA250004OtherANTHEM PROVIDER#
VA51143OtherSENTARA/OPTIMA PROVIDER#
VA0723576002OtherCIGNA PROVIDER#
VA540972387OtherAETNA/TRICARE PROVIDER#