Provider Demographics
NPI:1225343098
Name:HECKMAN, ERIN RAYNAUD (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:RAYNAUD
Last Name:HECKMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8771
Mailing Address - Country:US
Mailing Address - Phone:205-624-2500
Mailing Address - Fax:205-624-2502
Practice Address - Street 1:1136 1ST ST N
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8771
Practice Address - Country:US
Practice Address - Phone:205-624-2500
Practice Address - Fax:205-624-2502
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-C30-TA-852152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist