Individual provider Active NPI

Erin Raynaud Heckman, O.D.

  • Optometrist
  • Alabaster, AL
National Provider Identifier
1225343098
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C30-TA-852 Issued in AL
Practice address
1136 1St St N
Alabaster, AL 35007-8771
Phone
(205) 624-2500
Fax
(205) 624-2502
NPI assigned
Aug 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-C30-TA-852 AL Primary

Addresses

Primary practice location

1136 1St St N
Alabaster, AL 35007-8771

Mailing address

1136 1St St N
Alabaster, AL 35007-8771
Phone (205) 624-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101227000637 AL Practitioner - Optometry 0749478378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1136 1St St N
Alabaster, AL 35007-8771
Phone (205) 624-2500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heckman Eye Care LLC Optometrist CurrentSince Mar 9, 2012 Accepting new patients
Shelby Family Eye Care, LLC Optometrist CurrentSince Jan 18, 2017 Accepting new patients
Perry Eye & Vision Inc Optometrist PastSince Sep 1, 2010 Accepting new patients

Locations

1136 1st St N
Alabaster, AL 35007
Phone (205) 624-2500

613 1st St N
Alabaster, AL 35007
Phone (205) 620-2292

212 Ellen St
Oneonta, AL 35121
Phone (205) 625-3520

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1225343098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078771",
            "telephone_number": "205-624-2500",
            "fax_number": "205-624-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078771",
            "telephone_number": "205-624-2500",
            "fax_number": "205-624-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "ERIN",
        "middle_name": "RAYNAUD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C30-TA-852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.