Individual provider Active NPI

Christopher Grant Heetland, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1609875301
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-000994 Issued in AZ
Practice address
4925 S Alma School Rd
Ste. #1
Chandler, AZ 85248-5635
Phone
(480) 883-0900
Fax
(480) 883-1901
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-000994 AZ Primary

Addresses

Primary practice location

4925 S Alma School Rd
Ste. #1
Chandler, AZ 85248-5635

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050813000023 AZ Practitioner - Optometry 9436189107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Washington PLLCGroup PAC ID 4486186657, 50 clinicians
LCD Professionals PCGroup PAC ID 1658457098, 3 clinicians

Practice addresses (Care Compare)

3170 W Carefree Hwy
Suite 3
Phoenix, AZ 85086-3240
Phone (623) 444-2425

4925 S Alma School Rd
Suite 1
Chandler, AZ 85248-5634
Phone (480) 883-0900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-000994AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
LCD Professionals,PC Optometrist CurrentSince Apr 15, 2008 Accepting new patients
Prime Eye Care PC Optometrist Past Accepting new patients

Locations

4925 S Alma School Rd
Ste 1
Chandler, AZ 85248
Phone (480) 415-3241

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1609875301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 S ALMA SCHOOL RD",
            "address_2": "STE. #1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485635",
            "telephone_number": "480-883-0900",
            "fax_number": "480-883-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEETLAND",
        "first_name": "CHRISTOPHER",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-000994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.