Individual provider Active NPI

Heather Elizabeth Sterrett, OD

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1316517493
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004277A Issued in IN
Practice address
3401 Lake Ave
Fort Wayne, IN 46805-5500
Phone
(260) 426-3095
Fax
(260) 420-2258
NPI assigned
Jun 30, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004277A IN Primary

Addresses

Primary practice location

3401 Lake Ave
Fort Wayne, IN 46805-5500

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210702002022 IN Practitioner - Optometry 2466853049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frey Vision Group of Indiana IncGroup PAC ID 3779868203, 9 clinicians

Practice addresses (Care Compare)

3409 N Anthony Blvd
Fort Wayne, IN 46805-2233
Phone (260) 484-2691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004277AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Frey Vision Group of Indiana Inc Optometrist CurrentSince Jan 2, 2024 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Aug 2, 2021 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Aug 2, 2021 Accepting new patients
Longe Enterprises Corp PastSince Apr 11, 2021 Accepting new patients

Locations

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

10202 Coldwater Rd
Ste B
Fort Wayne, IN 46825
Phone (260) 469-0552

3401 Lake Ave
Fort Wayne, IN 46805
Phone (260) 422-6396

3409 N Anthony Blvd
Fort Wayne, IN 46805
Phone (260) 484-0615

6206 Saint Joe Center Rd
Fort Wayne, IN 46835
Phone (260) 492-2020

6413 Lima Rd
Fort Wayne, IN 46818
Phone (260) 275-5082

7625 Southtown Xing
Fort Wayne, IN 46816
Phone (260) 447-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1316517493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055500",
            "telephone_number": "260-426-3095",
            "fax_number": "260-420-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERRETT",
        "first_name": "HEATHER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004277A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.