Active NPI
Eric Warren Hein, M.D.
- Ophthalmology Physician
- Clemmons, NC
National Provider Identifier
1245277532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 168596
- Practice address
- 2554 Lewisville Clemmons Rd Ste 308
Clemmons, NC 27012-8749 - Phone
- (336) 245-8320
- Fax
- (336) 293-4857
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | 2010-10965 | NC | |
| Ophthalmology Physician | 207W00000X | 168596 | NC | Primary |
Addresses
Primary practice location
2554 Lewisville Clemmons Rd Ste 308
Clemmons, NC 27012-8749
Mailing address
2554 Lewisville-Clemmons Road
Suite 308
Clemmons, NC 27012-8749
Phone (336) 245-8320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093234007 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Eclectic Medical College, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2554 Lewisville Clemmons Rd
Suite 308
Clemmons, NC 27012-8749
Phone (336) 245-8320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168596 | NC | MD | Ophthalmology Physician |
| 2010-10965 | NC | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Pediatric Eye Physicians PC | Ophthalmology | Current | Accepting new patients |
Locations
2554 Lewisville Clemmons Rd
Ste 308
Clemmons, NC 27012
Phone (336) 245-8320
Interoperability endpoints
- eric.hein@tpep-nc.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Clemmons, NC
- NPI 1093234007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245277532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2554 LEWISVILLE-CLEMMONS ROAD",
"address_2": "SUITE 308",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128749",
"telephone_number": "336-245-8320",
"fax_number": "336-293-4857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2554 LEWISVILLE CLEMMONS RD STE 308",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128749",
"telephone_number": "336-245-8320",
"fax_number": "336-293-4857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIN",
"first_name": "ERIC",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "NC",
"license": "2010-10965",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "168596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093234007",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
- Renee Childress Haynes, FNP-C
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- Health Matters, PLLC Behavioral Health Counseling and Consultation
- Heartland Pediatric Therapy Services, LLC
- Arin Lee Heath, LCSW, MSW
- Melissa Ann Helman, M.D.
- Steven Edward Helman, M.D.
- Camilla Elizabeth Helton, PA
- Sherry Henning
- Diego Fernando Herrera Gutierrez, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.