Provider Demographics
NPI:1861491078
Name:HEARNE, ISAAC (MD PC)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:HEARNE
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 E MOANA LN
Mailing Address - Street 2:SUITE 22
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4641
Mailing Address - Country:US
Mailing Address - Phone:775-827-8855
Mailing Address - Fax:775-827-0843
Practice Address - Street 1:294 E MOANA LN
Practice Address - Street 2:SUITE 22
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4641
Practice Address - Country:US
Practice Address - Phone:775-827-8855
Practice Address - Fax:775-827-0843
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV10767207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100502773Medicaid
NV15197OtherMEDICAL EYE SERVICES
NVP00099532OtherRAILROAD MEDICARE
NVH59519Medicare UPIN
NV38827Medicare PIN