Heather Moon Small, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

631274146 Issued in AL

Practice address

27453 Capshaw Rd Ste B
Athens, AL 35613-7565

Phone

(256) 230-9637

Fax

(256) 230-0143

NPI assigned

Jul 27, 2010

Last updated

Oct 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• East Limestone Eye Care, P.C.

  • Optometrist
  • Harvest, AL
  • NPI 1104120823
  Medicare reassignment NPD Authorized official
• Pathway Eye Athens

  • Optometrist
  • Athens, AL
  • NPI 1205009750
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1164736583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "CAPSHAW",
            "state": "AL",
            "postal_code": "357420178",
            "telephone_number": "256-230-9637",
            "fax_number": "256-230-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27453 CAPSHAW RD STE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356137565",
            "telephone_number": "256-230-9637",
            "fax_number": "256-230-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "HEATHER",
        "middle_name": "MOON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "631274146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126155",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jalisa B Similton, MSW
• Adam Marc Simpson, PA
• Richard E Sipes, DDS
• Bradee Aiyer Sittason, DMD
• Anna Skipworth
• April Smith, MA
• Jacob Connor Smith, OD
• Jessica Smith
• Kelsey Dee Smith, PTA
• Lindsey T Smith, CRNP

• Optometrist in Athens, AL
• Providers in Athens, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.