Paul H Heavner

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1121 Issued in MD

Legal business name

PAUL H HEAVNER

Practice address

60 Souder Road
Brunswick Family Vision Center
Brunswick, MD 21716

Phone

(301) 834-6400

Fax

(301) 834-7585

NPI assigned

Feb 15, 2008

Last updated

Feb 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teri Deneen Heavner

Title

Office Manager

Phone

(301) 834-6400

Specialties & licenses 1

Addresses

Other names 1

• BRUNSWICK FAMILY VISION CENTER Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Richard Allgaier, O.D.

  • Optometrist
  • Walkersville, MD
  • NPI 1326040734
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1548438260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SOUDER ROAD",
            "address_2": "BRUNSWICK FAMILY VISION CENTER",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "21716",
            "telephone_number": "301-834-6400",
            "fax_number": "301-834-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SOUDER ROAD",
            "address_2": "BRUNSWICK FAMILY VISION CENTER",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "21716",
            "telephone_number": "301-834-6400",
            "fax_number": "301-834-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL H HEAVNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "HEAVNER",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "DENEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-834-6400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRUNSWICK FAMILY VISION CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carolyn V Ormes, O.D.
• Overcomer Mental Health Services LLC
• Pain & Strength Mobile PT, LLC
• Marwin Pascua
• Passion Nursing Care Services, LLC
• Andrea Peters, RN
• Kelly Jo Peters, MSN, APRN-BC
• Robert Phillips
• Privia Medical Group, LLC
• Geri Pryor, CAS

• Optometrist in Brunswick, MD
• Providers in Brunswick, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.