Aico Optical, P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

18002550B Issued in IN

Legal business name

AICO OPTICAL, P.C.

Practice address

10301 Dawsons Creek Blvd
Suite 2a
Fort Wayne, IN 46825-1955

Phone

(260) 489-3996

Fax

(260) 497-8612

NPI assigned

Mar 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Aileen Heaston, O.D.

Title

President

Phone

(260) 489-3996

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Aileen Wills Heaston

  • Optometrist
  • Fort Wayne, IN
  • NPI 1851599096
  NPD (past)

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206230400000",
    "number": "1386815991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 DAWSONS CREEK BLVD",
            "address_2": "SUITE 2A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251955",
            "telephone_number": "260-489-3996",
            "fax_number": "260-497-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 DAWSONS CREEK BLVD",
            "address_2": "SUITE 2A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251955",
            "telephone_number": "260-489-3996",
            "fax_number": "260-497-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AICO OPTICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-23",
        "last_updated": "2008-03-23",
        "status": "A",
        "authorized_official_last_name": "HEASTON",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-489-3996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18002550B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrar Justin Ahmed, MD
• Giasuddin Ahmed, MD
• Saudah Ahmed
• Lauren Ahrendt, RPH
• Shashi K Ahuja, M.D.
• AIDS Task Force NE
• AIDS Task Force of Northeast Indiana
• AIDS Task Force, Inc.
• Ailm Counseling LLC
• Aiman Hassan MD LLC

• Eyewear Supplier in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.