Individual provider Active NPI

Heather M. Starling, O.D.

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1144242595
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2868 Issued in FL
Practice address
4635 NW 53Rd Ave
Suite 202
Gainesville, FL 32653-3418
Phone
(352) 333-9971
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2868 FL Primary

Addresses

Primary practice location

4635 NW 53Rd Ave
Suite 202
Gainesville, FL 32653-3418

Mailing address

4635 NW 53Rd Ave
Suite 202
Gainesville, FL 32653-3418
Phone (352) 333-9971

Other identifiers 1

IdentifierTypeStateIssuer
20678ZOtherFLFLORIDA MEDICARE

Other names 1

  • Dr. Heather J. Moose Former name

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
I20061222000032 FL Practitioner - Optometry 4587664529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4635 NW 53Rd Ave
Suite 202
Gainesville, FL 32606-4363
Phone (352) 353-9971

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2868FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Eye Group, P.a. Optometrist CurrentSince Oct 1, 2006 Accepting new patients

Locations

4635 NW 53rd Ave
Ste 202
Gainesville, FL 32653
Phone (352) 333-9971

Interoperability endpoints

  • Direct secure messaging: heather.starling@direct.revolutionehr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1144242595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 NW 53RD AVE",
            "address_2": "SUITE 202",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533418",
            "telephone_number": "352-333-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 NW 53RD AVE",
            "address_2": "SUITE 202",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533418",
            "telephone_number": "352-333-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARLING",
        "first_name": "HEATHER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICARE",
            "identifier": "20678Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MOOSE",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.