Hecker Ophthalmology PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9700982 Issued in NC

Legal business name

HECKER OPHTHALMOLOGY PA

Practice address

1507 Westover Ter Ste C
Greensboro, NC 27408-7121

Phone

(336) 274-7771

Fax

(336) 274-2024

NPI assigned

Dec 6, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn J Hecker, MDNPI 1992744437

Title

Owner

Phone

(336) 274-7771

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: cfrazier@heckereye.intellechartdirect.net
• Direct secure messaging: cvan@heckereye.intellechartdirect.net

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn J Hecker, MD

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1992744437
  Medicare reassignment Care Compare group NPD Authorized official
• Chad Frazier, OD

  • Optometrist
  • Greensboro, NC
  • NPI 1265218481
  Medicare reassignment Care Compare group NPD
• Chaunhi Van, M.D

  • Ophthalmology Physician
  • Merritt Island, FL
  • NPI 1538548342

  NC

  Medicare reassignment Care Compare group NPD
• Paul Victor Kowalski, MD

  • Ophthalmology Physician
  • Jacksonville, IL
  • NPI 1740282797
  NPD
• Easton Clint Kelsey, O.D.

  • Optometrist
  • Ogden, UT
  • NPI 1063470466
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1447319454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WESTOVER TER STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087121",
            "telephone_number": "336-274-7771",
            "fax_number": "336-274-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WESTOVER TER STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087121",
            "telephone_number": "336-274-7771",
            "fax_number": "336-274-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Westover Ter",
            "address_2": "SUITE 107",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087128",
            "country_code": "US",
            "telephone_number": "336-274-7771",
            "fax_number": "336-274-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HECKER OPHTHALMOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HECKER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-274-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9700982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891069A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE CHOICE",
            "identifier": "18146",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01816",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN8607",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heavenly Embrace (Mitchell Brown)
• Heavenly Healthcare Agency, Inc.
• Heavenlygates, Inc.
• Stephen Perry Hebard, LPC
• Donald Vincent Heck, MD
• Kathryn J Hecker, MD
• Thomas A. Hedding, PH.D.
• Jeffrey Todd Hedges, PA-C
• Haley Snipes Hedrick
• Matthew Heeden, CRNA

• Ophthalmology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.