Individual provider Active NPI

Thomas W Hegland, O.D.

  • Optometrist
  • Winter Haven, FL
National Provider Identifier
1093733735
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2053 Issued in FL
Practice address
407 Avenue K SE
Winter Haven, FL 33880-4126
Phone
(863) 294-3504
Fax
(866) 522-3607
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2053 FL Primary

Addresses

Primary practice location

407 Avenue K SE
Winter Haven, FL 33880-4126

Mailing address

407 Avenue K SE
Winter Haven, FL 33880-4126
Phone (863) 294-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100816000173 FL Practitioner - Optometry 8022142876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists of Mid Florida PAGroup PAC ID 8022003235, 15 clinicians

Practice addresses (Care Compare)

100 Patterson Rd
Haines City, FL 33844-7840
Phone (863) 421-4280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2053FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists of Mid Florida PA Optometrist CurrentSince Oct 1, 2015 Accepting new patients
Eye Specialists of Mid Florida, PA CurrentSince Oct 1, 2015 Accepting new patients
Eye Specialists of Mid Florida, PA Past Accepting new patients

Locations

202 Magnolia Ave
Auburndale, FL 33823
Phone (863) 294-3504

1050 US Highway 27
Ste 1
Clermont, FL 34714
Phone (352) 394-8705

100 Patterson Rd
Haines City, FL 33844
Phone (863) 294-3504

2800 Ridge Way
Ste 100
Lake Wales, FL 33859
Phone (863) 676-2008

2004 E County Road 540A
Lakeland, FL 33813
Phone (863) 294-3504

3350 Harden Blvd
Lakeland, FL 33803
Phone (863) 294-3504

5032 US 27 N
Sebring, FL 33870
Phone (863) 382-3900

407 Avenue K SE
Winter Haven, FL 33880
Phone (863) 294-3504

Interoperability endpoints

  • Direct secure messaging: thomas.hegland@esmf.direct.eyemdemr.com

Organizations & group practices 6

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1093733735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504",
            "fax_number": "866-522-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504",
            "fax_number": "866-522-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGLAND",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.