Individual provider Active NPI

Cecilia Carroll Heiges, O.D.

  • Optometrist
  • La Grange, IL
National Provider Identifier
1518067693
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007699 Issued in IL
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0001684528OtherILBCBS

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.

Verify at the official NPI Registry.