DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL S HEIDISH, OD

Active Sole Proprietor

Optometrist · ASHVILLE, OH

Registration Details

NPI Number
1306843727
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2005 (20.851584327284 yrs)
Last Updated
Oct 9, 2012
License
4562/T1305 (OH)
Sole Proprietor
Yes

Practice Information

Address
3384 STATE ROUTE 752
ASHVILLE, OH, 431039685
Browse OH providers · Browse ZIP 43103
Phone
7409836171
Fax
7409836587
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in ASHVILLE, OH

Name Credential NPI
DR. AMY KENNEDY O.D. 1619016789
DR. JULIE M. HEIDISH OD 1669509428
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.