Active NPI
Richard L Heggeland, O.D.
- Optometrist
- Suwanee, GA
National Provider Identifier
1104903228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 756 T
- Practice address
- 1000 Peachtree Industrial Blvd Ste 14
Suwanee, GA 30024-1977 - Phone
- (770) 271-0611
- Fax
- (770) 271-5525
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 756 T | GA | Primary |
Addresses
Primary practice location
1000 Peachtree Industrial Blvd Ste 14
Suwanee, GA 30024-1977
Mailing address
1000 Peachtree Industrial Blvd
#14
Suwanee, GA 30024-6737
Phone (770) 271-0611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 756 T | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision Suwanee LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Suwanee, GA
- NPI 1255739637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1104903228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PEACHTREE INDUSTRIAL BLVD",
"address_2": "#14",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246737",
"telephone_number": "770-271-0611",
"fax_number": "770-271-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PEACHTREE INDUSTRIAL BLVD STE 14",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241977",
"telephone_number": "770-271-0611",
"fax_number": "770-271-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGGELAND",
"first_name": "RICHARD",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "756 T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
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- Clint R Heger, MA, ICADCII
- Carolyn B Heinl, LPC
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- Ximena Helm, M.A., NCC, LPC
- Helping Seniors Homecare LLC
- Philip Norton Henderson, MD, MPH, MBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.