Marvin Harold Heimlich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

307 S Milwaukee Ave
Libertyville Vision Center
Libertyville, IL 60048

Phone

(847) 541-1184

Fax

(847) 541-1194

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake Webster Dowell, O.D.

  • Optometrist
  • Libertyville, IL
  • NPI 1407089147
  Medicare reassignment

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.

• Rosin Optical Co., Inc

  • Optometrist
  • Berwyn, IL
  • NPI 1235343641
  Medicare reassignment Care Compare group NPD
• Rosin Optical Co. Inc.

  • Optometrist
  • Skokie, IL
  • NPI 1750945408
  NPD
• Rosin Optical Co., Inc.

  • Durable Medical Equipment & Medical Supplies
  • Niles, IL
  • NPI 1144434143

  Optometrist

  NPD
• Rosin Optical Co., Inc.

  • Optometrist
  • Chicago, IL
  • NPI 1073057634
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316026313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GREENWOOD AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911747",
            "telephone_number": "847-256-2645",
            "fax_number": "847-541-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MILWAUKEE AVE",
            "address_2": "LIBERTYVILLE VISION CENTER",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-541-1184",
            "fax_number": "847-541-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMLICH",
        "first_name": "MARVIN",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartcare Cardiovascular Specialists, SC
• Scott Richard Heelan, PA-C
• Alan Heigert
• Patricia Gail Heigert, L.C.S.W
• Meagan Ruth Heilman, DDS
• Helena Lee, Ma, LCPC, LLC
• Joy Lynn Helfers, MA, CMHC
• Ray Weldon Helms, M.D.
• Marypat Henders, L.C.P.C.
• Kimberly S Henne, P.T.

• Optometrist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.