Active NPI
Hetzler Ocular Prosthetic, Inc
- Ocularist
- Cincinnati, OH
National Provider Identifier
1568467074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- License
- 0.11
- Legal business name
- HETZLER OCULAR PROSTHETIC, INC
- Practice address
- 130 Tri County Pkwy
Ste 201
Cincinnati, OH 45246-3235 - Phone
- (513) 771-6029
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathy J Hetzler, B.C.O.
- Title
- President
- Phone
- (317) 598-6298
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | 0.11 | OH | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | O.11 | OH |
Addresses
Primary practice location
130 Tri County Pkwy
Ste 201
Cincinnati, OH 45246-3235
Mailing address
130 Tri County Pkwy
Ste 201
Cincinnati, OH 45246-3235
Phone (513) 771-6029
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2046995 | Medicaid | OH | |
| A1789 | Other | OH | CHOICECARE |
| 000000029685 | Other | OH | ANTHEM BCBS |
| 90000902 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Hetzler Ocular Prosthetic Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Fishers, IN
- NPI 1184692220
Locations
130 Tri County Pkwy
Ste 201
Cincinnati, OH 45246
Phone (513) 771-6029
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ocularist
- Cincinnati, OH
- NPI 1538916820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1568467074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 TRI COUNTY PKWY",
"address_2": "STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463235",
"telephone_number": "513-771-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 TRI COUNTY PKWY",
"address_2": "STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463235",
"telephone_number": "513-771-6029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HETZLER OCULAR PROSTHETIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HETZLER",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-598-6298",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "B.C.O."
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ocularist",
"state": "OH",
"license": "0.11",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "OH",
"license": "O.11",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2046995",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICECARE",
"identifier": "A1789",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000029685",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90000902",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.