Active NPI
Cecilia Carroll Heiges, O.D.
- Optometrist
- La Grange, IL
National Provider Identifier
1518067693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046007699
- Practice address
- 715 W Hillgrove Ave
La Grange, IL 60525-5964 - Phone
- (708) 482-3200
- Fax
- (708) 482-3288
- NPI assigned
- Sep 25, 2006
- Last updated
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046007699 | IL | Primary |
| Vision Therapy Optometrist | 152WV0400X | 046007699 | IL |
Addresses
Primary practice location
715 W Hillgrove Ave
La Grange, IL 60525-5964
Mailing address
715 W Hillgrove Ave
La Grange, IL 60525-5964
Phone (708) 482-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001684528 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1518067693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 W HILLGROVE AVE",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605255964",
"telephone_number": "708-482-3200",
"fax_number": "708-482-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W HILLGROVE AVE",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605255964",
"telephone_number": "708-482-3200",
"fax_number": "708-482-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIGES",
"first_name": "CECILIA",
"middle_name": "CARROLL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046007699",
"primary": true
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "IL",
"license": "046007699",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0001684528",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.