Provider Demographics
NPI:1184030306
Name:WORRELL, HEATHER MCCARTHY (OD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MCCARTHY
Last Name:WORRELL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:LYNN
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:5885 GUNN HWY
Mailing Address - Street 2:TAMPA
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-4007
Mailing Address - Country:US
Mailing Address - Phone:813-908-0100
Mailing Address - Fax:813-908-0099
Practice Address - Street 1:5885 GUNN HWY
Practice Address - Street 2:TAMPA
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-4007
Practice Address - Country:US
Practice Address - Phone:813-908-0100
Practice Address - Fax:813-908-0099
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4947152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist