Organization Active NPI

Heffron Family Eye Care, PLLC

  • Health Service Clinic/Center
  • Glasgow, KY
National Provider Identifier
1033377866
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HEFFRON FAMILY EYE CARE, PLLC
Practice address
507 S L Rogers Wells Blvd
Suite E
Glasgow, KY 42141-1043
Phone
(270) 629-2015
Fax
(270) 629-2016
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Jamison J Heffron, O.D.NPI 1760480297
Title
Owner
Phone
(270) 629-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

507 S L Rogers Wells Blvd
Suite E
Glasgow, KY 42141-1043

Mailing address

507 S L Rogers Wells Blvd
Suite E
Glasgow, KY 42141-1043
Phone (270) 629-2015

Other identifiers 1

IdentifierTypeStateIssuer
7701319100MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080602000492 KY Part B Supplier - Clinic/Group Practice 2163592288 Receives reassigned benefits from 1 practitioner
Practice locations: Glasgow, KY
O20100930067961 KY DME Supplier - Physician - Optometrist 2163592288 Practice locations: Glasgow, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Heffron Family Eye Care PLLC507 S L Rogers Wells Blvd, Glasgow, KY 42141-1043(270) 629-2015 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jun 2, 2008

National Provider Directory

National Provider Directory

Locations

507 S L Rogers Wells Blvd
Ste E
Glasgow, KY 42141
Phone (270) 629-2015

507 S L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 629-2015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1033377866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S L ROGERS WELLS BLVD",
            "address_2": "SUITE E",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411043",
            "telephone_number": "270-629-2015",
            "fax_number": "270-629-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S L ROGERS WELLS BLVD",
            "address_2": "SUITE E",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411043",
            "telephone_number": "270-629-2015",
            "fax_number": "270-629-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEFFRON FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "HEFFRON",
        "authorized_official_first_name": "JAMISON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-629-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701319100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.