Individual provider Active NPI

Larry Richard Heiser

  • Optician
  • Mansfield, OH
National Provider Identifier
1033015011
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
OP.017907-SC Issued in OH
Practice address
609 Logan Rd
Mansfield, OH 44907-2733
Phone
(419) 756-7295
Fax
(419) 756-7574
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X OP.017907-SC OH Primary

Addresses

Primary practice location

609 Logan Rd
Mansfield, OH 44907-2733

Mailing address

609 Logan Rd
Mansfield, OH 44907-2733
Phone (419) 756-7295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1033015011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 LOGAN RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072733",
            "telephone_number": "419-756-7295",
            "fax_number": "419-756-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 LOGAN RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072733",
            "telephone_number": "419-756-7295",
            "fax_number": "419-756-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISER",
        "first_name": "LARRY",
        "middle_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "OP.017907-SC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.