Provider Demographics
NPI:1710118211
Name:HESS, VALERA MORNINGSTAR (OD)
Entity Type:Individual
Prefix:DR
First Name:VALERA
Middle Name:MORNINGSTAR
Last Name:HESS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:VALERA
Other - Middle Name:RAY
Other - Last Name:MORNINGSTAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:326 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:SELINSGROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17870-1512
Mailing Address - Country:US
Mailing Address - Phone:717-729-8105
Mailing Address - Fax:
Practice Address - Street 1:1 SUSQUEHANNA VALLEY MALL DR
Practice Address - Street 2:
Practice Address - City:SELINSGROVE
Practice Address - State:PA
Practice Address - Zip Code:17870-1271
Practice Address - Country:US
Practice Address - Phone:570-372-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002272152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist