Active NPI
Jennifer Mary Moreira-Heinig, O.D.
- Optometrist
- Hornell, NY
National Provider Identifier
1346304631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006197-1
- Practice address
- 1000 State Route 36
Vision Center
Hornell, NY 14843-9300 - Phone
- (607) 324-7142
- Fax
- (607) 324-7965
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006197-1 | NY | Primary |
Addresses
Primary practice location
1000 State Route 36
Vision Center
Hornell, NY 14843-9300
Mailing address
1000 State Route 36
Vision Center
Hornell, NY 14843-9323
Phone (607) 324-7142
Other names 1
- Dr. Jennifer M Moreira
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071219000540 | NY | Practitioner - Optometry | 4183714744 | Practice locations: Hornell, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 State Route 36
Hornell, NY 14843-9323
Phone (607) 324-7142
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006197-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakes Radiology PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Hornell, NY
- NPI 1710937727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1346304631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 STATE ROUTE 36",
"address_2": "VISION CENTER",
"city": "HORNELL",
"state": "NY",
"postal_code": "148439323",
"telephone_number": "607-324-7142",
"fax_number": "607-324-7965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 STATE ROUTE 36",
"address_2": "VISION CENTER",
"city": "HORNELL",
"state": "NY",
"postal_code": "148439300",
"telephone_number": "607-324-7142",
"fax_number": "607-324-7965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREIRA-HEINIG",
"first_name": "JENNIFER",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006197-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MOREIRA",
"middle_name": "M",
"prefix": "DR.",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hornell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.