Individual provider Active NPI

Kristin Lorraine Heien, O.D.

  • Optometrist
  • Bryant, AR
National Provider Identifier
1487844171
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2588 Issued in AR
Practice address
400 Bryant Ave
Bryant, AR 72022-3813
Phone
(501) 847-6677
Fax
(501) 653-0093
NPI assigned
Jul 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2588 AR Primary

Addresses

Primary practice location

400 Bryant Ave
Bryant, AR 72022-3813

Mailing address

400 Bryant Ave
Bryant, AR 72022-3813
Phone (501) 847-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20140422000074 AR Practitioner - Optometry 4981836186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Bryant Ave
Bryant, AR 72022-3813
Phone (501) 847-6677

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2588ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Vision Care, P.a. Optometrist CurrentSince Jan 22, 2014 Accepting new patients

Locations

400 Bryant Ave
Bryant, AR 72022
Phone (501) 847-4615

Organizations & group practices 1

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": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1487844171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BRYANT AVE",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223813",
            "telephone_number": "501-847-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BRYANT AVE",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223813",
            "telephone_number": "501-847-6677",
            "fax_number": "501-653-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIEN",
        "first_name": "KRISTIN",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.