Carol J Heine, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001834A Issued in IN

Practice address

422 Poplar St
Terre Haute, IN 47807-4209

Phone

(812) 242-3700

Fax

(812) 234-3565

NPI assigned

Aug 25, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1215045919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3700",
            "fax_number": "812-234-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 POPLAR ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074209",
            "telephone_number": "812-242-3700",
            "fax_number": "812-234-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINE",
        "first_name": "CAROL",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001834A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000089606",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE PALAMETTO",
            "identifier": "410031551",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00830676",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartland Physical Medicine & Rehabilitation PC
• Sarah Heath, PT
• Anthony D Heavin, MD
• Daniel Hechavarria
• Jason Heck, PMHNP
• Peter Hellwarth
• Michael Henderson, RBT
• Rachael Dannielle Hendrickson, LMT
• Gerald J Henke, DPM
• Samia Henley, RBT

• Optometrist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.