Provider Demographics
NPI:1316939879
Name:HEFNER, WILLIAM F (OD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:HEFNER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66603-3517
Mailing Address - Country:US
Mailing Address - Phone:785-235-2374
Mailing Address - Fax:785-232-0136
Practice Address - Street 1:200 SE 6TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3517
Practice Address - Country:US
Practice Address - Phone:785-235-2374
Practice Address - Fax:785-232-0136
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1479-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS410032623OtherRAIL ROAD MEDICARE
KS100295250AMedicaid
KS052523Medicare ID - Type Unspecified
KSU66052Medicare UPIN
KS0827820001Medicare NSC