Provider Demographics
NPI:1538448337
Name:COLEMAN, HEATH ALLEN (OD)
Entity type:Individual
Prefix:DR
First Name:HEATH
Middle Name:ALLEN
Last Name:COLEMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:3111 UNICORN LAKE BLVD
Mailing Address - Street 2:STE. 100
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210
Mailing Address - Country:US
Mailing Address - Phone:940-891-3937
Mailing Address - Fax:940-591-8368
Practice Address - Street 1:3111 UNICORN LAKE BLVD
Practice Address - Street 2:STE. 100
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210
Practice Address - Country:US
Practice Address - Phone:940-891-3937
Practice Address - Fax:940-591-8368
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK2689152W00000X
TX7840TG152W00000X
TX784OT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist