Organization Active NPI

Hetzler Ocular Prosthetic, Inc

  • Ocularist
  • Cincinnati, OH
National Provider Identifier
1568467074
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
License
0.11 Issued in OH
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
OcularistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2046995MedicaidOH
A1789OtherOHCHOICECARE
000000029685OtherOHANTHEM BCBS
90000902MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Hetzler Ocular Prosthetic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.