Provider Demographics
NPI:1750430740
Name:MAY HETTLER FINNEY OD PLLC
Entity type:Organization
Organization Name:MAY HETTLER FINNEY OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:HETTLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-971-7000
Mailing Address - Street 1:2352 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4900
Mailing Address - Country:US
Mailing Address - Phone:540-374-1100
Mailing Address - Fax:540-374-1214
Practice Address - Street 1:2352 PLANK RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4900
Practice Address - Country:US
Practice Address - Phone:540-374-1100
Practice Address - Fax:540-374-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09962Medicare PIN