Individual provider Active NPI

A. Gale Heckert, O.D.

  • Optometrist
  • Indiana, PA
National Provider Identifier
1205831757
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001026 Issued in PA
Practice address
689 Philadelphia St
Indiana, PA 15701-3929
Phone
(724) 465-4747
Fax
(724) 465-8438
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001026 PA Primary

Addresses

Primary practice location

689 Philadelphia St
Indiana, PA 15701-3929

Mailing address

689 Philadelphia St
Indiana, PA 15701-3929
Phone (724) 465-4747

Other practice location 1

678 Philadelphia St
Indiana, PA 15701-3930
Phone (724) 349-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040924000077 PA Practitioner - Optometry 9436127842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Eye Care IncGroup PAC ID 5294984183, 3 clinicians

Practice addresses (Care Compare)

678 Philadelphia St
Indiana, PA 15701-3930
Phone (724) 349-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Eye Care,Inc Optometrist CurrentSince Jun 27, 2022 Accepting new patients
Insight Eye Consultants to Nursing Facilities Inc Optometrist CurrentSince Jan 27, 2018 Accepting new patients

Locations

506 Athena Dr
Delmont, PA 15626

678 Philadelphia St
Indiana, PA 15701
Phone (724) 349-8000

Organizations & group practices 2

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1205831757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013929",
            "telephone_number": "724-465-4747",
            "fax_number": "724-465-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013929",
            "telephone_number": "724-465-4747",
            "fax_number": "724-465-8438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "678 Philadelphia St",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013930",
            "country_code": "US",
            "telephone_number": "724-349-8000",
            "fax_number": "724-357-9669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECKERT",
        "first_name": "A.",
        "middle_name": "GALE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.