Individual provider · NPI-1

Ted Wayne Heskett Jr., R.D.O.

Technician/Technologist, Contact Lens · San Francisco, CA

NPI number1154488427

StatusActive

Last updated in NPPESSep 11, 2025

Details

NPI: 1154488427
Entity type: Individual (NPI-1)
Name: Mr. Ted Wayne Heskett Jr.
Credential: R.D.O.
Sex: Male
Sole proprietor: Yes
Enumeration date: Jan 3, 2007
Last updated: Sep 11, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
156FC0800X	Technician/Technologist, Contact Lens	CL 70	CA
156FX1800X	Technician/Technologist, Optician	D-602	CA

Practice location

500 Sutter St Ste 222
San Francisco, CA 94102-1111

Phone 415-982-8272 · Fax 415-982-8664

Mailing address

500 Sutter St Ste 222
San Francisco, CA 94102-1111

Phone 415-982-8272 · Fax 415-982-8664

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