Provider Demographics
NPI:1346525656
Name:LISA HEUER, OD, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:LISA HEUER, OD, A PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HEUER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:530-662-2020
Mailing Address - Street 1:433 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3908
Mailing Address - Country:US
Mailing Address - Phone:530-662-2020
Mailing Address - Fax:530-662-8642
Practice Address - Street 1:433 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3908
Practice Address - Country:US
Practice Address - Phone:530-662-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty