Heritage Vision Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001935 Issued in GA

Legal business name

HERITAGE VISION CENTER, INC.

Practice address

2427 Heritage VLG
Suite 4
Snellville, GA 30078-2699

Phone

(770) 978-2020

Fax

(770) 978-1750

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Klein

Title

Back Office Manager

Phone

(770) 978-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jeffrey Scot Hackleman, O.D.

  • Optometrist
  • Snellville, GA
  • NPI 1427044387
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1609920289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 HERITAGE VLG",
            "address_2": "SUITE 4",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782699",
            "telephone_number": "770-978-2020",
            "fax_number": "770-978-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 HERITAGE VLG",
            "address_2": "SUITE 4",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782699",
            "telephone_number": "770-978-2020",
            "fax_number": "770-978-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "BACK OFFICE MANAGER",
        "authorized_official_telephone_number": "770-978-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000922842B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalee Sandra Henry
• Saul Enrique Heras Estrada, DPT
• Heritage Chiropractic Clinc Inc
• Heritage Health Services, Inc
• Heritage Medical Care LLC
• Jasmine Hester, LMSW, CCM
• Kaloni Kashai Hewing
• Tanya M High, LMT
• Kimberly Hightower, MS, OTR/L
• Anneliese Carey Hill, PA-C

• Optometrist in Snellville, GA
• Providers in Snellville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.