Individual provider Active NPI

Amy Rae Van Heel, OD

  • Optometrist
  • McMinnville, OR
National Provider Identifier
1598128019
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4291ATI Issued in OR
Practice address
2445 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862
Phone
(503) 472-4688
NPI assigned
Apr 1, 2016
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4291ATI OR Primary

Addresses

Primary practice location

2445 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862

Mailing address

2445 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862
Phone (503) 472-4688

Other practice location 1

4079 NW Logan Rd Ste B
Lincoln City, OR 97367-5080
Phone (541) 994-7652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20171031000163 OR Practitioner - Optometry 6709152176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McMinnville Eye Clinic PCGroup PAC ID 4587646955, 5 clinicians

Practice addresses (Care Compare)

4079 NW Logan Rd
Suite B
Lincoln City, OR 97367-5080
Phone (541) 994-7652

Merit-based Incentive Payment System (MIPS)

Final score
88.78 of 100Reported as group
Quality
100
Promoting interoperability
81
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4291ATIORMDOptometrist
4291ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Optometric PC Optometrist CurrentSince Dec 5, 2018 Accepting new patients
Ogata Eyecare, PC Optometrist CurrentSince Oct 19, 2017 Accepting new patients
JHS Inc CurrentSince Jan 2, 2022 Accepting new patients
Ogata Eyecare, PC Optometrist CurrentSince Oct 19, 2017 Accepting new patients
McMinnville Eye Clinic PC CurrentSince Sep 15, 2019 Accepting new patients
Northwest Optometric Associates Inc Optometrist Past Accepting new patients

Locations

4079 NW Logan Rd
Ste B
Lincoln City, OR 97367
Phone (541) 994-7652

235 SE Norton Ln
Ste A
McMinnville, OR 97128
Phone (503) 472-3842

2445 NE Cumulus Ave
#A
McMinnville, OR 97128
Phone (503) 472-3842

1522 SW Sunset Blvd
Portland, OR 97239
Phone (503) 473-8039

9730 SW Washington Square Rd
Tigard, OR 97223
Phone (503) 624-0666

Interoperability endpoints

  • Direct secure messaging: amy.vanheel@direct.mcminnvilleeyeclinic.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1598128019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 NE CUMULUS AVE STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288862",
            "telephone_number": "503-472-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 NE CUMULUS AVE STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288862",
            "telephone_number": "503-472-4688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4079 NW Logan Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973675080",
            "country_code": "US",
            "telephone_number": "541-994-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN HEEL",
        "first_name": "AMY",
        "middle_name": "RAE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4291ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.