Individual provider Active NPI

Sara S Heffler, O.D.

  • Optometrist
  • Longmont, CO
National Provider Identifier
1083639413
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1711 Issued in CO
Practice address
1319 Vivian St
Longmont, CO 80501-3216
Phone
(303) 772-3611
Fax
(303) 772-3609
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1711 CO Primary

Addresses

Primary practice location

1319 Vivian St
Longmont, CO 80501-3216

Mailing address

1319 Vivian St
Longmont, CO 80501-3216
Phone (303) 772-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100927000192 CO Practitioner - Optometry 7012033186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer Havrilla LLCGroup PAC ID 4880936624, 2 clinicians

Practice addresses (Care Compare)

2001 S Shields St BLDG
1 Colorado Vision Center
Fort Collins, CO 80526-1837
Phone (970) 206-0100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1711COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Havrilla LLC Optometrist CurrentSince Jun 27, 2023 Accepting new patients
Front Range Optical Past Accepting new patients
Edie Bowman OD LLC Optometrist PastSince Jun 27, 2023 Accepting new patients

Locations

2001 S Shields St
Ste J1
Fort Collins, CO 80526
Phone (970) 206-0100

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1083639413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 VIVIAN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013216",
            "telephone_number": "303-772-3611",
            "fax_number": "303-772-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 VIVIAN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013216",
            "telephone_number": "303-772-3611",
            "fax_number": "303-772-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFLER",
        "first_name": "SARA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.