Provider Demographics
NPI:1760664700
Name:VAISHNAV, HEER RINKU (OD)
Entity Type:Individual
Prefix:DR
First Name:HEER
Middle Name:RINKU
Last Name:VAISHNAV
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 1:3683 EAST PACES WALK
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-7811
Mailing Address - Country:US
Mailing Address - Phone:404-909-4782
Mailing Address - Fax:
Practice Address - Street 1:3683 E PACES WALK
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-7804
Practice Address - Country:US
Practice Address - Phone:404-909-4782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-01
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002438152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist