Active NPI
Mark A. Hegetschweiler, O.D.
- Optometrist
- Clermont, FL
National Provider Identifier
1295894533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2182
- Practice address
- 550 US Highway 27
Clermont, FL 34714-8908 - Phone
- (352) 536-2746
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001101 | GA | |
| Optometrist | 152W00000X | OPC2182 | FL | Primary |
Addresses
Primary practice location
550 US Highway 27
Clermont, FL 34714-8908
Mailing address
550 US Highway 27
Clermont, FL 34714-8908
Phone (352) 536-2746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT001101 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1295894533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 US HIGHWAY 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347148908",
"telephone_number": "352-536-2746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 US HIGHWAY 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347148908",
"telephone_number": "352-536-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGETSCHWEILER",
"first_name": "MARK",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001101",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.