Individual provider Active NPI

Lori Ann Heyler, O.D.

  • Optometrist
  • West Boylston, MA
National Provider Identifier
1245391804
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC# 3122 Issued in FL
Practice address
360 W Boylston St
West Boylston, MA 01583-2365
Phone
(508) 854-0595
Fax
(508) 854-0496
NPI assigned
Dec 13, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC# 3122 FL Primary
Optometrist 152W00000X 4809 MA

Addresses

Primary practice location

360 W Boylston St
West Boylston, MA 01583-2365

Mailing address

360 West Boylston Street
West Boylston, MA 01583
Phone (508) 854-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110330000825 MA Practitioner - Optometry 0446251672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lori a Heyler OD LLCGroup PAC ID 4284885971, 2 clinicians

Practice addresses (Care Compare)

360 W Boylston St
RM 106
West Boylston, MA 01583-2370
Phone (508) 854-0595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC# 3122FLMDOptometrist
4809MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lori a Heyler OD LLC Optometrist CurrentSince Jun 18, 2012 Accepting new patients
D. E. Bettencourt, O.D., LLC. Optometrist PastSince Nov 1, 2012 Accepting new patients
Grillo Monroe Optometry LLC Optometrist Past Accepting new patients
Jewell Eye Inc Optometrist PastSince Jun 12, 1996 Accepting new patients
New England Eye Consultants, Inc Optometrist Past Accepting new patients
Adept Health & Wellness PastSince Dec 1, 2021 Accepting new patients
Professional Eyecare Zona Rosa Inc. Optometrist Past Accepting new patients

Locations

360 W Boylston St
Rm 106
West Boylston, MA 01583
Phone (508) 854-0595

67 W Boylston St
Unit 11
West Boylston, MA 01583
Phone (508) 854-0595

Organizations & group practices 7

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1245391804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WEST BOYLSTON STREET",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "01583",
            "telephone_number": "508-854-0595",
            "fax_number": "508-854-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BOYLSTON ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832365",
            "telephone_number": "508-854-0595",
            "fax_number": "508-854-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYLER",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC# 3122",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Boylston, MA

Sources for this page

Verify at the official NPI Registry.