Heather L. Jozwiak OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003384A Issued in IN

Legal business name

HEATHER L. JOZWIAK OD PC

Practice address

2009 Roosevelt Rd
Suite D
Valparaiso, IN 46383-3765

Phone

(219) 462-5501

Fax

(219) 462-3238

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Heather Lynn Jozwiak, ODNPI 1902872195

Title

Owner

Phone

(219) 462-5501

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Lynn Jozwiak, O.D.

  • Optometrist
  • Valparaiso, IN
  • NPI 1902872195

  IN, Optometrist

  Medicare reassignment NPD Authorized official
• Stanley Neil Blackman, O.D.

  • Optometrist
  • Valparaiso, IN
  • NPI 1518931310
  NPD (past)

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1598056103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 ROOSEVELT RD",
            "address_2": "SUITE D",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833765",
            "telephone_number": "219-462-5501",
            "fax_number": "219-462-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 ROOSEVELT RD",
            "address_2": "SUITE D",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833765",
            "telephone_number": "219-462-5501",
            "fax_number": "219-462-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER L. JOZWIAK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "JOZWIAK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-462-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003384A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brittany Lynn Heideman, CAPRC 1
• Eric Andrew Hein, D.D.S.
• Ladawn Heinold, PTA
• Tessa Hektoen, RN
• Rachel Hellyer, MA

• All providers in Valparaiso, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.