Provider Demographics
NPI:1134374614
Name:CAROL HECKER NASON, O.D., P.A.
Entity type:Organization
Organization Name:CAROL HECKER NASON, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:HECKER
Authorized Official - Last Name:NASON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-963-8148
Mailing Address - Street 1:7433 PRESCOTT LN
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7849
Mailing Address - Country:US
Mailing Address - Phone:561-963-8148
Mailing Address - Fax:
Practice Address - Street 1:10550 W FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3135
Practice Address - Country:US
Practice Address - Phone:561-791-3937
Practice Address - Fax:561-333-8586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC002594152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty