Provider Demographics
NPI:1023651296
Name:HEG BUSINESS MANAGEMENT LLC
Entity type:Organization
Organization Name:HEG BUSINESS MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:DUPUY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-738-0111
Mailing Address - Street 1:6641 W BOYNTON BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3527
Mailing Address - Country:US
Mailing Address - Phone:561-738-0111
Mailing Address - Fax:561-375-9359
Practice Address - Street 1:6641 W BOYNTON BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3527
Practice Address - Country:US
Practice Address - Phone:561-738-0111
Practice Address - Fax:561-375-9359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty