Geoffrey Allen Heddle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003437B Issued in IN

Practice address

215 E University Dr Ste 150
Granger, IN 46530-4026

Phone

(574) 272-3937

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, IN2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hedgeye Optometrist PC

  • Optometrist
  • Granger, IN
  • NPI 1043827660
  Medicare reassignment NPD Authorized official
• Onsight, Inc.

  • Podiatrist
  • East Lansing, MI
  • NPI 1821248568
  Medicare reassignment NPD
• Visual Performance Center PLLC

  • Optometrist
  • Saint Joseph, MI
  • NPI 1417622804
  NPD Authorized official
• Onsight, Inc.

  • Dentist
  • East Lansing, MI
  • NPI 1730339474
  NPD
• Onhealthcare LLC

  • Podiatrist
  • Indianapolis, IN
  • NPI 1952677353
  NPD (past)
• Giaimo Mobile Podiatry of WV PLLC

  • Podiatrist
  • Charleston, WV
  • NPI 1386183473
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1285788745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E UNIVERSITY DR STE 150",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E UNIVERSITY DR STE 150",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304026",
            "telephone_number": "574-272-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2047 Niles Road",
            "address_purpose": "LOCATION",
            "city": "Sant Joseph",
            "state": "MI",
            "postal_code": "490852505",
            "country_code": "US",
            "telephone_number": "269-983-3200",
            "fax_number": "269-983-4902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4542 Elkhart Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465173572",
            "country_code": "US",
            "telephone_number": "574-538-4728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3916 Stonegate Park Unit B",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490859144",
            "country_code": "US",
            "telephone_number": "269-408-8719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDDLE",
        "first_name": "GEOFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003924",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003437B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Head
• Healthtrans LLC
• Christine M Healy
• Hearth at Juday Creek LLC
• Brian Joseph Heckman, PHARMD
• Hedgeye Optometrist PC
• Thomas Henry, PT
• Robert Heritz, PT
• Joseph E Hickey III, DDS
• Melissa Anne Hickey, M.D.

• Optometrist in Granger, IN
• Providers in Granger, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.

Verify at the official NPI Registry.