NPIMap

Organization Active NPI

Heidi a Hanisch OD PC

  • Optometrist
  • Fremont, NE
National Provider Identifier
1497079644
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1033 Issued in NE
Legal business name
HEIDI A HANISCH OD PC
Practice address
3010 E 23Rd St
Fremont, NE 68025-2479
Phone
(402) 727-0804
Fax
(402) 727-6102
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Dr. Heidi A Hanisch, ODNPI 1548212590
Title
Owner
Phone
(402) 981-7802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1033 NE Primary

Addresses

Primary practice location

3010 E 23Rd St
Fremont, NE 68025-2479

Mailing address

PO Box 241296
Omaha, NE 68124-5296
Phone (402) 727-0804

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1497079644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241296",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681245296",
            "telephone_number": "402-727-0804",
            "fax_number": "402-727-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252479",
            "telephone_number": "402-727-0804",
            "fax_number": "402-727-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI A HANISCH OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "HANISCH",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-981-7802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.