Basic Information
| Provider Information | |||||||||
| NPI: | 1750430740 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MAY HETTLER FINNEY OD PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2352 PLANK RD | ||||||||
| Address2: | |||||||||
| City: | FREDERICKSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 224014900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5403741100 | ||||||||
| FaxNumber: | 5403741214 | ||||||||
| Practice Location | |||||||||
| Address1: | 2352 PLANK RD | ||||||||
| Address2: | |||||||||
| City: | FREDERICKSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 224014900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5403741100 | ||||||||
| FaxNumber: | 5403741214 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2007 | ||||||||
| LastUpdateDate: | 02/04/2008 | ||||||||
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| AuthorizedOfficialLastName: | HETTLER | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | H. | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7039717000 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.