Individual provider Active NPI

Paul Timothy Heeg, O.D.

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1275845661
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7559TG Issued in TX
Practice address
851 State Highway 121 Byp
Lewisville, TX 75067-4158
Phone
(972) 315-9306
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7559TG TX Primary

Addresses

Primary practice location

851 State Highway 121 Byp
Lewisville, TX 75067-4158

Mailing address

220 S Denton Tap Rd Ste 204
Coppell, TX 75019-5039
Phone (972) 745-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120112000747 TX Practitioner - Optometry 6608054549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Vision Associates PLLCGroup PAC ID 7618199027, 6 clinicians

Practice addresses (Care Compare)

220 S Denton Tap Rd
Suite 204
Coppell, TX 75019-5039
Phone (972) 745-8760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7559TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Associates PLLC Optometrist CurrentSince Oct 1, 2014 Accepting new patients
Clear Vision Associates PLLC Optometrist CurrentSince Feb 17, 2020 Accepting new patients
Dr Paul Heeg Optometrist PastSince Sep 15, 2011 Accepting new patients

Locations

220 S Denton Tap Rd
Ste 204
Coppell, TX 75019
Phone (903) 707-7020

200 Gerault Rd
Ste 110
Flower Mound, TX 75028
Phone (972) 646-2024

851 State Highway 121 Byp
Lewisville, TX 75067
Phone (469) 948-1026

Organizations & group practices 4

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1275845661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S DENTON TAP RD STE 204",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195039",
            "telephone_number": "972-745-8760",
            "fax_number": "866-925-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 STATE HIGHWAY 121 BYP",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674158",
            "telephone_number": "972-315-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEG",
        "first_name": "PAUL",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7559TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.