Individual provider Active NPI

Joseph G. Heinrich, O.D.

  • Optometrist
  • San Juan Capistrano, CA
National Provider Identifier
1275678435
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8737T Issued in CA
Practice address
32241 Camino Capistrano
A - 101
San Juan Capistrano, CA 92675-3708
Phone
(949) 661-3669
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8737T CA Primary

Addresses

Primary practice location

32241 Camino Capistrano
A - 101
San Juan Capistrano, CA 92675-3708

Mailing address

32241 Camino Capistrano
A - 101
San Juan Capistrano, CA 92675-3708
Phone (949) 661-3669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20071127000175 CA Practitioner - Optometry 5496843567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph G. Heinrich, O.D., a.P.C.Group PAC ID 3577651645, 2 clinicians

Practice addresses (Care Compare)

32241 Camino Capistrano
Suite A101
San Juan Capistrano, CA 92675-3708
Phone (949) 661-3669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8737CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph G. Heinrich, O.D., a.P.C. Optometrist CurrentSince Nov 27, 2007 Accepting new patients

Locations

32241 Camino Capistrano
Ste A101
San Juan Capo, CA 92675
Phone (949) 661-3669

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1275678435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32241 CAMINO CAPISTRANO",
            "address_2": "A - 101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753708",
            "telephone_number": "949-661-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32241 CAMINO CAPISTRANO",
            "address_2": "A - 101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753708",
            "telephone_number": "949-661-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "JOSEPH",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8737T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.