Provider Demographics
NPI:1881647428
Name:DRS HEYING AND HEYING PC
Entity Type:Organization
Organization Name:DRS HEYING AND HEYING PC
Other - Org Name:CEDAR RAPIDS EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HEYING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:319-366-4455
Mailing Address - Street 1:4207 GLASS RD NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402
Mailing Address - Country:US
Mailing Address - Phone:319-366-4455
Mailing Address - Fax:319-362-8461
Practice Address - Street 1:4207 GLASS RD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402
Practice Address - Country:US
Practice Address - Phone:319-366-4455
Practice Address - Fax:319-362-8461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0221838Medicaid
IA0221838Medicaid
IAI0596Medicare PIN