Heather L. Paulus, O.D. LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6399 Issued in OH

Legal business name

HEATHER L. PAULUS, O.D. LLC

Practice address

1657 Holland Rd Ste D
Maumee, OH 43537-1661

Phone

(419) 891-1023

Fax

(419) 891-1138

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Sue I. Toczynski

Title

Office Manager

Phone

(419) 891-1023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, MI2 enrollments

Enrollment records 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Rose Guzak, OD

  • Optometrist
  • Maumee, OH
  • NPI 1982279840
  Medicare reassignment NPD
• Heather L Paulus, O.D

  • Optometrist
  • Maumee, OH
  • NPI 1205211232

  MI

  Medicare reassignment NPD
• Thomas A Cable, OD

  • Optometrist
  • Maumee, OH
  • NPI 1477592715
  Medicare reassignment

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1194243766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 HOLLAND RD STE D",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371661",
            "telephone_number": "419-891-1023",
            "fax_number": "419-891-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 HOLLAND RD STE D",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371661",
            "telephone_number": "419-891-1023",
            "fax_number": "419-891-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER L. PAULUS, O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "TOCZYNSKI",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-891-1023"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Suzanne Elaine Heisman

• Optometrist in Maumee, OH
• Providers in Maumee, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.