Dr Crystal S Hefner

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

NC0990 Issued in NC

Legal business name

DR CRYSTAL S HEFNER

Practice address

130 1St St W
Conover, NC 28613-2106

Phone

(828) 464-6030

Fax

(828) 465-6339

NPI assigned

Dec 18, 2007

Last updated

Dec 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal S Hefner, O.D.NPI 1154311389

Title

Owner

Phone

(828) 464-6030

Specialties & licenses 1

Addresses

Other identifiers 9

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal S Hefner, O.D.

  • Optometrist
  • Newton, NC
  • NPI 1154311389
  NPD (past) Authorized official

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1053595736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286130582",
            "telephone_number": "828-464-6030",
            "fax_number": "828-465-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 1ST ST W",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132106",
            "telephone_number": "828-464-6030",
            "fax_number": "828-465-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CRYSTAL S HEFNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "HEFNER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-464-6030",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "NC0990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2242466",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "10261",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "271874",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "09833",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "09833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DIVISION OF THE BLIND",
            "identifier": "8909833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE EMPLOYEES",
            "identifier": "09833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "NC0990",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheree Burgess Dixon, OTR
• DLP Central Carolina Physician Practices LLC (Fryecare Urgent Care - Conover)
• DLP Frye Medical Group LLC (FryeCare Urgent Care Conover)
• DLP Graystone Family Practice Associates LLC
• Julie M Dollar, MA, LCMHC
• Dr, John T. Griggs, Optometrist P.a.
• DRS. Darab and Richardson, PA
• Easter Seals Ucp North Carolina & Virginia
• Neil Eckard, PHYSICIAN ASSISTANT
• Abdalla M Elhalawany

• Eyewear Supplier in Conover, NC
• Providers in Conover, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.