IndividualActive
John Heffernan, M.D.
NPI 1093791121 · Ophthalmic Plastic and Reconstructive Surgery Physician · Tacoma, WA
Provider details
- NPI number
- 1093791121
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD00016843 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
502 S M St
Tacoma, WA 98405-3728
Phone: (206) 212-2100
Fax: (206) 212-2194
Approximate (ZIP-level) locationGet directions
Mailing address
34719 6th Ave S
Federal Way, WA 98003-8714
Additional practice locations (1)
- 1101 Madison StSuite 580Seattle, WA 98104-1306Phone: (206) 215-2052Fax: (206) 215-2280
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.