Individual provider Active NPI

Heather C Min, O.D.

  • Optometrist
  • Severna Park, MD
National Provider Identifier
1013693910
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2925 Issued in MD
Practice address
139 Ritchie Highway Suite B
Severna Park, MD 21146
Phone
(410) 544-7417
Fax
(410) 544-4408
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2925 MD Primary

Addresses

Primary practice location

139 Ritchie Highway Suite B
Severna Park, MD 21146

Mailing address

139 Ritchie Highway Suite B
Severna Park, MD 21146
Phone (410) 544-7417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230803000062 MD Practitioner - Optometry 8921469222 Reassigns benefits to 1 organization
I20241115000585 DC Practitioner - Optometry 8921469222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert C. Feldman, MD, PAGroup PAC ID 4385541168, 6 clinicians

Practice addresses (Care Compare)

14955 Shady Grove Rd
Suite 180
Rockville, MD 20850-8700
Phone (301) 279-9696

Merit-based Incentive Payment System (MIPS)

Final score
79.85 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
32.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C. Feldman, MD, PA CurrentSince Oct 1, 2024 Accepting new patients
BFT Vision Inc Optometrist CurrentSince Jun 26, 2023 Accepting new patients
Aeg Maryland Professional LLC Optometrist CurrentSince Apr 20, 2025 Accepting new patients

Locations

14955 Shady Grove Rd
Ste 180
Rockville, MD 20850
Phone (301) 279-9696

139 Ritchie Hwy
Ste B
Severna Park, MD 21146
Phone (410) 544-4717

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1013693910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 RITCHIE HIGHWAY SUITE B",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-544-7417",
            "fax_number": "410-544-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 RITCHIE HIGHWAY SUITE B",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-544-7417",
            "fax_number": "410-544-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "HEATHER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.