Individual provider Active NPI

Michelle Hejny, O.D.

  • Optometrist
  • Bristol, VA
National Provider Identifier
1144298456
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000563 Issued in VA
Practice address
500 Gate City Hwy
Space 405
Bristol, VA 24201-2372
Phone
(276) 466-6173
Fax
(276) 669-0570
NPI assigned
Mar 10, 2006
Last updated
Mar 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 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 0618000563 VA Primary

Addresses

Primary practice location

500 Gate City Hwy
Space 405
Bristol, VA 24201-2372

Mailing address

2829 E Oakland Ave
#1
Johnson City, TN 37601-1347
Phone (423) 283-4590

Other identifiers 1

IdentifierTypeStateIssuer
0009236295MedicaidVA

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

Practice roles

OrganizationSpecialtyStatusNew patients
I Care Vision Associates PLLC Optometrist PastSince Sep 29, 2019 Accepting new patients

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1144298456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 E OAKLAND AVE",
            "address_2": "#1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011347",
            "telephone_number": "423-283-4590",
            "fax_number": "423-283-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GATE CITY HWY",
            "address_2": "SPACE 405",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242012372",
            "telephone_number": "276-466-6173",
            "fax_number": "276-669-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEJNY",
        "first_name": "MICHELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009236295",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.