Individual provider Active NPI

Ryan Jeffrey Heady, O.D.

  • Optometrist
  • Springfield, MO
National Provider Identifier
1295028058
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2013000334 Issued in MO
Practice address
3231 S National Ave Ste 165
Springfield, MO 65807-7304
Phone
(417) 820-9393
Fax
(417) 730-3102
NPI assigned
May 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2013000334 MO Primary
Optometrist 152W00000X 18003832 IN

Addresses

Primary practice location

3231 S National Ave Ste 165
Springfield, MO 65807-7304

Mailing address

3231 S National Ave Ste 165
Springfield, MO 65807-7304
Phone (417) 603-1179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20181009002324 MO Practitioner - Optometry 0446481980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, 1,121 clinicians
Heady and Pham Advanced Eyecare LLCGroup PAC ID 0941770622, 2 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 603-1179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003832INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Optometrist CurrentSince Oct 16, 2018 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 16, 2018 Accepting new patients
Heady & Pham Advanced Eyecare LLC Optometrist Current Accepting new patients
Mercy Hospital Springfield Current Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

3231 S National Ave
Ste 165
Springfield, MO 65807
Phone (417) 820-9393

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Organizations & group practices 5

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1295028058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 S NATIONAL AVE STE 165",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077304",
            "telephone_number": "417-603-1179",
            "fax_number": "417-377-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 S NATIONAL AVE STE 165",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077304",
            "telephone_number": "417-820-9393",
            "fax_number": "417-730-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADY",
        "first_name": "RYAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2013000334",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.