Hedgeye Optometrist PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HEDGEYE OPTOMETRIST PC

Practice address

215 E University Dr Ste 150
Granger, IN 46530-4026

Phone

(574) 272-3937

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Geoffrey Heddle, ODNPI 1285788745

Title

Sole Owner

Phone

(574) 272-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Geoffrey Allen Heddle, OD

  • Optometrist
  • Granger, IN
  • NPI 1285788745
  Medicare reassignment NPD Authorized official
• Matthew Ryan Austin, OD

  • Optometrist
  • Elkhart, IN
  • NPI 1922591957
  Medicare reassignment NPD

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1043827660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E UNIVERSITY DR STE 150",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E UNIVERSITY DR STE 150",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304026",
            "telephone_number": "574-272-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4542 Elkhart Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465173572",
            "country_code": "US",
            "telephone_number": "574-538-4728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEDGEYE OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "HEDDLE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "574-272-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthtrans LLC
• Christine M Healy
• Hearth at Juday Creek LLC
• Brian Joseph Heckman, PHARMD
• Geoffrey Allen Heddle, OD
• Thomas Henry, PT
• Robert Heritz, PT
• Joseph E Hickey III, DDS
• Melissa Anne Hickey, M.D.
• Samantha M Hill, FNP-C

• Optometrist in Granger, IN
• Providers in Granger, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.