NPIMap

Organization Active NPI

Heyde Eye Center S.C

  • Ophthalmology Physician
  • Peoria, IL
National Provider Identifier
1205829389
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HEYDE EYE CENTER S.C
Practice address
400 NE Saint Mark CT
Peoria, IL 61603-3717
Phone
(309) 674-1234
Fax
(309) 674-6422
NPI assigned
Aug 24, 2005
Last updated
Jun 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Dr. Raymond R Heyde, MDNPI 1861484263
Title
Owner
Phone
(309) 674-2244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary
Eyewear Supplier 332H00000X 036075507 IL

Addresses

Primary practice location

400 NE Saint Mark CT
Peoria, IL 61603-3717

Mailing address

400 NE Saint Mark CT
Peoria, IL 61603-3717
Phone (309) 674-1234

National Provider Directory

National Provider Directory

Locations

311 E Main St
Ste 512
Galesburg, IL 61401
Phone (309) 341-1234

111 N 4th St
Pekin, IL 61554
Phone (309) 346-1234

400 NE Saint Mark Ct
Peoria, IL 61603
Phone (309) 346-1234

Interoperability endpoints

  • Direct secure messaging: rheyde@heydeeye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1205829389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NE SAINT MARK CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033717",
            "telephone_number": "309-674-1234",
            "fax_number": "309-674-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NE SAINT MARK CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033717",
            "telephone_number": "309-674-1234",
            "fax_number": "309-674-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYDE EYE CENTER S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "HEYDE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-674-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "036075507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.