Individual provider Active NPI

Beth Heinz, OD

  • Optometrist
  • Hayward, WI
National Provider Identifier
1023992435
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4098-35 Issued in WI
Practice address
15569 Railroad St Ste 301
Hayward, WI 54843-5707
Phone
(715) 634-8616
NPI assigned
Jul 31, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4098-35 WI Primary

Addresses

Primary practice location

15569 Railroad St Ste 301
Hayward, WI 54843-5707

Mailing address

10320 N Pheasant LN
Hayward, WI 54843-7662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251027000912 WI Practitioner - Optometry 9739678277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optom-Eyes Care LLCGroup PAC ID 0345641247, 2 clinicians

Practice addresses (Care Compare)

15569 Railroad St
Suite 301
Hayward, WI 54843-5707
Phone (715) 634-8616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4098-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optom-Eyes Care LLC Optometrist CurrentSince Sep 16, 2025 Accepting new patients
Hayward Family Eye Care, Inc Optometrist PastSince Aug 3, 2025 Accepting new patients

Locations

15569 Railroad St
Ste 301
Hayward, WI 54843
Phone (715) 236-7906

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1023992435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 N PHEASANT LN",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15569 RAILROAD ST STE 301",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548435707",
            "telephone_number": "715-634-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "4098-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, WI

Sources for this page

Verify at the official NPI Registry.