Robert Micheal Heston, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

01526 Issued in IA

Practice address

1411 4TH St SW
Mason City, IA 50401-2752

Phone

(641) 423-7555

Fax

(641) 423-8291

NPI assigned

Jul 7, 2005

Reactivated

Mar 29, 2006

Last updated

Nov 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• R.M. Heston OD PC

  • Optometrist
  • Mason City, IA
  • NPI 1740485572
  Authorized official Same address or phone

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1558368258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012752",
            "telephone_number": "641-423-7555",
            "fax_number": "641-423-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012752",
            "telephone_number": "641-423-7555",
            "fax_number": "641-423-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTON",
        "first_name": "ROBERT",
        "middle_name": "MICHEAL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-11-13",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1068759",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Mason City, IA
• Providers in Mason City, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.