Active NPI
Daniel L Heitman, O.D.
- Optometrist
- Alexandria, LA
National Provider Identifier
1356568414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1222383T
- Practice address
- 1800 Macarthur Dr
Suite E
Alexandria, LA 71301-3768 - Phone
- (318) 442-8393
- NPI assigned
- Apr 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1222383T | LA | Primary |
Addresses
Primary practice location
1800 Macarthur Dr
Suite E
Alexandria, LA 71301-3768
Mailing address
1800 Macarthur Dr
Suite E
Alexandria, LA 71301-3768
Phone (318) 442-8393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1693286 | Medicaid | LA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1222383T | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Optical | 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.
-
- Eyewear Supplier
- Alexandria, LA
- NPI 1376567917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356568414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 MACARTHUR DR",
"address_2": "SUITE E",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013768",
"telephone_number": "318-442-8393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MACARTHUR DR",
"address_2": "SUITE E",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013768",
"telephone_number": "318-442-8393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITMAN",
"first_name": "DANIEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1222383T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1693286",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.