Active NPI
Heather Mironas
- Optometrist
- Anaheim, CA
National Provider Identifier
1467804914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 33502
- Practice address
- 5460 E la Palma Ave
Anaheim, CA 92807-2023 - Phone
- (714) 449-7401
- NPI assigned
- Jul 8, 2016
- Sex
- Female
- Sole proprietor
- No
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 | OPT 33502 | CA | Primary |
Addresses
Primary practice location
5460 E la Palma Ave
Anaheim, CA 92807-2023
Mailing address
5460 E la Palma Ave
Anaheim, CA 92807-2023
Phone (714) 449-7401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1860 Woodmoor Dr
Suite 103
Monument, CO 80132-9093
Phone (719) 488-2042
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33502 | CA | MD | Clinical Psychologist |
| OPT 33502 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Vision Clinic PC | Optometrist | Current | Accepting new patients |
| Chapel Hills Vision P C | Optometrist | Past | Accepting new patients |
Locations
1860 Woodmoor Dr
Ste 103
Monument, CO 80132
Phone (719) 488-2042
Organizations & group practices 2
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.
-
- Optometrist
- Monument, CO
- NPI 1588967228
-
- Optometrist
- Colorado Springs, CO
- NPI 1336134683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1467804914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5460 E LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072023",
"telephone_number": "714-449-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5460 E LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072023",
"telephone_number": "714-449-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRONAS",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 33502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.