Charles Heacock, OD

NPI 1942294905 · on the registry since 2005

Practice

Address: 840 N Stone St
Deland, FL 32720
Phone: (386) 734-1766
Fax: (386) 740-7866
Organisation at this address: Jeffrey L Timko Od Pa
Myeyedr Optometry Of Florida, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-08-27

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 Florida