Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEO FRANK HETTIGER, OPTOMETRIST
Active Sole ProprietorLEO FRANK HETTIGER, OPTOMETRIST is a Sports Vision Optometrist healthcare provider located in FLORA, Illinois. NPI 1821052846 is currently active in the NPPES registry. Verify at CMS.
Sports Vision Optometrist · FLORA, IL
Registration Details
- NPI Number
- 1821052846
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2006 (20.36745727046 yrs)
- Last Updated
- Feb 28, 2013
- Licenses
-
046007547 (IL)T02518 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1205 N OLIVE RDFLORA, IL, 628392344Browse IL providers · Browse ZIP 62839
- Phone
- 6186624045
- Fax
- 6186623402
- Primary Specialty
-
Sports Vision Optometrist
152WS0006X
- Additional Specialty
- Sports Vision Optometrist
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.