Individual provider Active NPI

Sayge M Heintzelman, O.D.

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1568610384
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60032052 Issued in WA
Practice address
3200 Main St
Vancouver, WA 98663-2753
Phone
(360) 696-4691
Fax
(360) 696-2078
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60032052 WA Primary

Addresses

Primary practice location

3200 Main St
Vancouver, WA 98663-2753

Mailing address

PO Box 61896
Vancouver, WA 98666-1896
Phone (360) 696-4691

Other identifiers 1

IdentifierTypeStateIssuer
G8885863OtherWAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091105000506 WA Practitioner - Optometry 0648318014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vancouver Eye Care PSGroup PAC ID 5799673364, 10 clinicians

Practice addresses (Care Compare)

3200 Main St
Vancouver, WA 98663-2753
Phone 36069646911116

Merit-based Incentive Payment System (MIPS)

Final score
90.47 of 100Reported as group
Quality
100
Promoting interoperability
89
Improvement activities
40
Cost
77.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60032052WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vancouver Eye Care, P.S. Optometrist CurrentSince Mar 13, 2012 Accepting new patients
Vancouver Eye Care PS CurrentSince Mar 13, 2012 Accepting new patients
Thomas O McCurdy OD Inc PS Optometrist Past Accepting new patients

Locations

2415 NE 134th St
Ste 101
Vancouver, WA 98686
Phone (360) 823-2000

17720 SE Mill Plain Blvd
Ste 100
Vancouver, WA 98683
Phone (360) 823-2018

3200 Main St
Vancouver, WA 98663
Phone (360) 696-4691

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sayge.heintzelman.p1@direct.vecmaxwellit.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1568610384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61896",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986661896",
            "telephone_number": "360-696-4691",
            "fax_number": "360-696-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632753",
            "telephone_number": "360-696-4691",
            "fax_number": "360-696-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINTZELMAN",
        "first_name": "SAYGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60032052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8885863",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.