Provider Demographics
NPI:1811015688
Name:HEHN, RICHARD DUANE (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DUANE
Last Name:HEHN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7827 MOUNTAIN AIRE LP SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98503
Mailing Address - Country:US
Mailing Address - Phone:360-493-1790
Mailing Address - Fax:360-491-8702
Practice Address - Street 1:651 SLEATER KINNEY SE
Practice Address - Street 2:SUITE 1300
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98503
Practice Address - Country:US
Practice Address - Phone:360-493-1790
Practice Address - Fax:360-491-8702
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA803TX152W00000X
OR1001152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2025310Medicaid
WA2025310Medicaid