Individual provider Active NPI

Julienne Ha Heene, O.D.

  • Optometrist
  • Walnut Creek, CA
National Provider Identifier
1194876987
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12431T Issued in CA
Practice address
301 Lennon LN
Ste 201
Walnut Creek, CA 94598-2483
Phone
(925) 932-1123
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 12431T CA Primary

Addresses

Primary practice location

301 Lennon LN
Ste 201
Walnut Creek, CA 94598-2483

Mailing address

224 Babette CT
Pleasant Hill, CA 94523-3811
Phone (415) 806-1537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110802000137 CA Practitioner - Optometry 7113196577 Reassigns benefits to 1 organization
I20191011000639 AZ Practitioner - Optometry 7113196577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

13125 N la Montana Dr
Suite 1
Fountain Hills, AZ 85268-3781
Phone (480) 816-0102

307 E Southern Ave
Tempe, AZ 85282-5201
Phone (480) 967-4801

9336 E Raintree Dr
Suite 140
Scottsdale, AZ 85260-7323
Phone (480) 614-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12431CAMDAddiction (Substance Use Disorder) Counselor
12431TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John H McDougall OD Arizona PC Optometrist CurrentSince Aug 11, 2019 Accepting new patients
California Eye Clinic Current Accepting new patients
California Eye Clinic Optometrist CurrentSince Mar 23, 2011 Accepting new patients
California Eye Clinic CurrentSince Mar 23, 2011 Accepting new patients
2020 Image Tempe Optometrist PastSince Oct 1, 2003 Accepting new patients

Locations

3900 W Ray Rd
Ste 1
Chandler, AZ 85226
Phone (480) 820-9880

13125 N La Montana Dr
Fountain Hills, AZ 85268

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

6239 E Brown Rd
Ste 113
Mesa, AZ 85205
Phone (480) 218-0663

9336 E Raintree Dr
Ste 1
Scottsdale, AZ 85260

9336 E Raintree Dr
Ste 140
Scottsdale, AZ 85260
Phone (480) 614-0055

307 E Southern Ave
Tempe, AZ 85282
Phone (480) 967-4801

3747 Sunset Ln
#A
Antioch, CA 94509
Phone (925) 754-2300

1181 Central Blvd
Ste F
Brentwood, CA 94513
Phone (925) 516-0888

2260 Gladstone Dr
Ste 3
Pittsburg, CA 94565
Phone (925) 427-2111

111 Deerwood Rd
Ste 300
San Ramon, CA 94583
Phone (925) 855-9912

301 Lennon Ln
Ste 201
Walnut Creek, CA 94598
Phone (925) 296-6100

Organizations & group practices 5

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1194876987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BABETTE CT",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233811",
            "telephone_number": "415-806-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LENNON LN",
            "address_2": "STE 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982483",
            "telephone_number": "925-932-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEENE",
        "first_name": "JULIENNE",
        "middle_name": "HA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12431T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.