Provider Demographics
NPI:1740477819
Name:HEATH FAMILY EYECARE INC
Entity type:Organization
Organization Name:HEATH FAMILY EYECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:515-955-7777
Mailing Address - Street 1:1511 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-5012
Mailing Address - Country:US
Mailing Address - Phone:515-955-7777
Mailing Address - Fax:
Practice Address - Street 1:3036 1ST AVE S
Practice Address - Street 2:VISION CENTER
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-2988
Practice Address - Country:US
Practice Address - Phone:515-955-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty