Jeffrey Arden Heyd, OD
Individual provider Active NPI Optometrist · Scott City, KS
NPI 1235190026 · NPPES record last updated Jul 1, 2010
Key facts
- NPI
- 1235190026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1451-3 (KS)
- Practice address
- 106 W 4TH St
Scott City, KS 67871-1108 - Phone
- (620) 872-2020
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171002002424 | TX | Practitioner - Optometry | 8527009273 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodrow Wilson Keeble Memorial Health Care Center | Current |
Accepting new patients |
Locations
100 Lake Traverse Dr
Sisseton, SD 57262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1451-3 | KS | Yes |
Addresses
Primary practice location
106 W 4TH St
Scott City, KS 67871-1108
Mailing address
PO Box 108
Scott City, KS 67871-0108
Phone (620) 872-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100363590A | Medicaid | KS |
Other providers in Scott City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.