Heidi H Welnak, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

030.0133931 Issued in VT

Practice address

5222 Main St
Manchester Center, VT 05255-9700

Phone

(802) 366-8050

Fax

(802) 366-8045

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heidi H Olean Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VT, MA2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Eyecare PC 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holean@adveyecarevt.emadirect.md

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.

• Advanced Eyecare PC

  • Ophthalmology Physician
  • Bennington, VT
  • NPI 1790739340

  MA, Optometrist, VT

  Medicare reassignment Care Compare group NPD
• Advanced Eyecare, PC

  • Eyewear Supplier
  • Manchester Center, VT
  • NPI 1386832756
  NPD (past)
• Advanced Eyecare, PC

  • Eyewear Supplier
  • North Adams, MA
  • NPI 1184812554
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1609484179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 DEWEY ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012225",
            "telephone_number": "802-447-8700",
            "fax_number": "802-447-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 MAIN ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559700",
            "telephone_number": "802-366-8050",
            "fax_number": "802-366-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 Dewey St",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052012225",
            "country_code": "US",
            "telephone_number": "802-447-8700 x209",
            "fax_number": "802-447-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELNAK",
        "first_name": "HEIDI",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT LICENSE",
            "identifier": "030.0133931",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holean@adveyecarevt.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5222 Main St",
            "city": "Manchester Center",
            "state": "VT",
            "country_code": "US",
            "postal_code": "052559700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "OLEAN",
            "middle_name": "H",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Xandra H Velenchik, D.M.D.
• Vermont Holistic Health PLLC
• Nicholas Charles Voci, PT, DPT
• Walgreen Co
• Christian Dewolf Weeks, LMHC
• Nicholas Charles Wild, MD
• Marc Williams, L.AC.
• Withinsight PLC
• Emma Wood, MS, LMFT
• Jane M. Worley, APRN

• All providers in Manchester Center, VT
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.