Individual provider Active NPI

Crystal S Hefner, O.D.

  • Optometrist
  • Newton, NC
National Provider Identifier
1154311389
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0990 Issued in NC
Practice address
110 E a St
Newton, NC 28658-3343
Phone
(828) 464-4136
Fax
(828) 464-6243
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0990 NC Primary

Addresses

Primary practice location

110 E a St
Newton, NC 28658-3343

Mailing address

PO Box 446
Newton, NC 28658-0446
Phone (828) 464-4136

Other identifiers 10

IdentifierTypeStateIssuer
09833OtherNCNC HEALTH CHOICE
NC0990OtherNCEYEMED VISION CARE
09833OtherNCBLUE CROSS BLUE SHIELD
10261OtherNCOPTICARE
22-42466OtherNCUNITED HEALTHCARE
89-09833OtherNCNC DIVISION OF THE BLIND
89-09833MedicaidNC
09833OtherNCBLUE CROSS BLUE SHIELD NC
271874OtherNCMAMSI
09833OtherNCNC STATE EMPLOYEES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090123000390 NC Practitioner - Optometry 7214091982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claremont Optometric Eye Care Center, PLLCGroup PAC ID 9133032840, 4 clinicians
Newton Optometric Center, PLLCGroup PAC ID 5395658017, 5 clinicians

Practice addresses (Care Compare)

3038S NC 127 Hwy
Hickory, NC 28602-5404
Phone (828) 294-1010

750 Iris Lane
Newton, NC 28658-3343
Phone (828) 464-4136

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Claremont Optometric Eye Care Center, PLLC Optometrist CurrentSince Oct 21, 2011 Accepting new patients
Newton Optometric Center, PLLC Optometrist CurrentSince Jan 2, 2009 Accepting new patients
Dr Crystal S Hefner Past Accepting new patients
Newton Optometric Center P C Optometrist PastSince Jan 2, 2009 Accepting new patients

Locations

3038 S NC 127 Hwy
Hickory, NC 28602
Phone (828) 294-1010

110 E A St
Newton, NC 28658
Phone (828) 464-4136

Organizations & group practices 4

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1154311389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286580446",
            "telephone_number": "828-464-4136",
            "fax_number": "828-464-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E A ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583343",
            "telephone_number": "828-464-4136",
            "fax_number": "828-464-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFNER",
        "first_name": "CRYSTAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "09833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "NC0990",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "10261",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "22-42466",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DIVISION OF THE BLIND",
            "identifier": "89-09833",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-09833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "09833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "271874",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE EMPLOYEES",
            "identifier": "09833",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

Verify at the official NPI Registry.