Lynell Heatley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8736 Issued in CA

Practice address

55 Crescent Dr Ste 10D
Pleasant Hill, CA 94523-5511

Phone

(707) 658-4988

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• National Vision, Inc.

  dba America's Best Contacts & Eyeglasses

  • Optician
  • Petaluma, CA
  • NPI 1104334424
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1407906571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2111",
            "city": "OLYMPIC VALLEY",
            "state": "CA",
            "postal_code": "961462111",
            "telephone_number": "510-599-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CRESCENT DR STE 10D",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945235511",
            "telephone_number": "707-658-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATLEY",
        "first_name": "LYNELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hayes
• Healthy Families Chiropractic
• Daniel Joseph Heaney, PA-C
• Logan Patrick Heaney
• Robert Charles Heath, MFT
• Jonathan Harris Hecht, M.D.
• Emily Heeney, AGACNP
• Cheryl Heinla, LMFT
• Helios Healthcare, LLC (Rosewood Care Center)
• Lavinia Roberta Henlon, M.S.

• Optometrist in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.