IndividualActive
Leo Hettiger, OPTOMETRIST
NPI 1821052846 · Sports Vision Optometrist · Flora, IL
Provider details
- NPI number
- 1821052846
- Entity type
- Individual
- Primary specialty
- Sports Vision OptometristEye and Vision Services Providers
- Credential
- OPTOMETRIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- 046007547 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
1205 N Olive Rd
Flora, IL 62839-2344
Phone: (618) 662-4045
Fax: (618) 662-3402
Approximate (ZIP-level) locationGet directions
Mailing address
1205 N Olive Rd
Flora, IL 62839-2344
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2013-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.