Individual provider Active NPI

Nathan Een Heyborne, OD

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1356967442
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9985 Issued in TX
Practice address
4210 82ND St Ste 222
Lubbock, TX 79423-1940
Phone
(806) 368-5813
NPI assigned
Jun 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 9985 TX Primary

Addresses

Primary practice location

4210 82ND St Ste 222
Lubbock, TX 79423-1940

Mailing address

4210 82ND St Ste 222
Lubbock, TX 79423-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20220927002306 UT Practitioner - Optometry 1254717366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirk Eye LLCGroup PAC ID 6709217052, 3 clinicians

Practice addresses (Care Compare)

380 E 800
Richfield, UT 84701-1913
Phone (435) 287-0563

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
100
Improvement activities
40
Cost
53.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9985TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk Eye LLC CurrentSince Sep 20, 2022 Accepting new patients
Mnkrehab PastSince Dec 1, 2022 Accepting new patients
America's Best Contacts & Eyeglasses PastSince Jun 28, 2020 Accepting new patients

Locations

120 E 200 N
Richfield, UT 84701
Phone (435) 896-2020

41 S 100 E
Ste J
Richfield, UT 84701
Phone (435) 287-0563

Organizations & group practices 3

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1356967442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 82ND ST STE 222",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 82ND ST STE 222",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231940",
            "telephone_number": "806-368-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYBORNE",
        "first_name": "NATHAN",
        "middle_name": "EEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.