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Linda Wills Heaston

NPI 1851599096 · on the registry since 2007 · sole proprietor

Practice

Address
10301 Dawsons Creek Blvd
Suite 2a
Fort Wayne, IN 46825
Phone
(260) 489-3996
Fax
(260) 497-8612
Organisation at this address
Aico Optical, P.C.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana