Individual provider Active NPI

Heather Anderegg, O. D.

  • Optometrist
  • Kerrville, TX
National Provider Identifier
1093944845
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7390T Issued in TX
Practice address
1001 Water St Ste E-100
Kerrville, TX 78028-3761
Phone
(830) 257-4417
Fax
(830) 257-1480
NPI assigned
Jul 14, 2009
Last updated
Jul 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7390T TX Primary

Addresses

Primary practice location

1001 Water St Ste E-100
Kerrville, TX 78028-3761

Mailing address

PO Box 294869
Kerrville, TX 78029-4869
Phone (830) 257-4417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090817000712 TX Practitioner - Optometry 7810041431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BP Eye Care CentersGroup PAC ID 9133306152, 3 clinicians

Practice addresses (Care Compare)

1021 S State Hwy 16
Fredericksburg, TX 78624-4472
Phone (830) 992-3286

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7390TXMDChiropractor
7390TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pena Optical Solutions LLC Optometrist CurrentSince Aug 24, 2011 Accepting new patients
BP Eye Care Centers Optometrist CurrentSince Aug 24, 2011 Accepting new patients

Locations

1021 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 830-2020

237 W Water St
Kerrville, TX 78028
Phone (830) 257-6336

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1093944845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294869",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780294869",
            "telephone_number": "830-257-4417",
            "fax_number": "830-257-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATER ST STE E-100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283761",
            "telephone_number": "830-257-4417",
            "fax_number": "830-257-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDEREGG",
        "first_name": "HEATHER",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7390T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.