Provider Demographics
NPI:1427497692
Name:MONIKA S HEDA O.D & ASSOCIATES
Entity type:Organization
Organization Name:MONIKA S HEDA O.D & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:SAINI
Authorized Official - Last Name:HEDA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:901-734-1175
Mailing Address - Street 1:2606 SHELBY AVE
Mailing Address - Street 2:301
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4024
Mailing Address - Country:US
Mailing Address - Phone:901-734-1175
Mailing Address - Fax:
Practice Address - Street 1:725 HEBRON PKWY
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5001
Practice Address - Country:US
Practice Address - Phone:972-956-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7689152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty