Individual provider Active NPI

Jennifer Mary Moreira-Heinig, O.D.

  • Optometrist
  • Hornell, NY
National Provider Identifier
1346304631
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006197-1 Issued in NY
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

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
TUV006197-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.