Individual provider Active NPI

George Edward Heinig, O.D.

  • Optometrist
  • Hornell, NY
National Provider Identifier
1255429809
Registry record updated Feb 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006210-1 Issued in NY
Practice address
53 Center St
Hornell, NY 14843-1931
Phone
(607) 324-4480
Fax
(607) 438-3211
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006210-1 NY Primary

Addresses

Primary practice location

53 Center St
Hornell, NY 14843-1931

Mailing address

53 Center St
Hornell, NY 14843-1931
Phone (607) 324-4480

Other practice location 1

7 Erie Ave
Hornell, NY 14843-1909
Phone (607) 324-4480

Other identifiers 1

IdentifierTypeStateIssuer
02309295MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071213000346 NY Practitioner - Optometry 8426148560 Practice locations: Hornell, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

53 Ctr St
Hornell, NY 14843-1931
Phone (607) 324-4480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006210-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center Inc Optometrist PastSince Aug 9, 2010 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Lakes Radiology PLLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1255429809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CENTER ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431931",
            "telephone_number": "607-324-4480",
            "fax_number": "607-438-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CENTER ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431931",
            "telephone_number": "607-324-4480",
            "fax_number": "607-438-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Erie Ave",
            "address_purpose": "LOCATION",
            "city": "Hornell",
            "state": "NY",
            "postal_code": "148431909",
            "country_code": "US",
            "telephone_number": "607-324-4480",
            "fax_number": "607-324-3453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINIG",
        "first_name": "GEORGE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006210-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02309295",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

Verify at the official NPI Registry.