Individual provider Active NPI

Heather L Hickson, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1629057203
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1812 Issued in NC
Practice address
6691 N Thornydale Rd
Tucson, AZ 85741-2737
Phone
(520) 395-2619
Fax
(520) 308-4524
NPI assigned
Jan 12, 2006
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1812 NC Primary
Optometrist 152W00000X 2166 AZ

Addresses

Primary practice location

6691 N Thornydale Rd
Tucson, AZ 85741-2737

Mailing address

PO Box 68066
Tucson, AZ 85737-8066
Phone (828) 279-3300

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
I20170828002985 AZ Practitioner - Optometry 6406066687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cve Arizona Optometry LLCGroup PAC ID 1951688134, 2 clinicians

Practice addresses (Care Compare)

6691 N Thornydale Rd
Tucson, AZ 85741-2737
Phone (520) 395-2619

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1812NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cve Arizona Optometry LLC Optometrist CurrentSince Jul 1, 2017 Accepting new patients
HLH Cve Optometry, LLC Optometrist Current Accepting new patients
Briana J. Shelton OD PA Optometrist Past Accepting new patients
Ammons Perry Optometric, PLLC Optometrist Past Accepting new patients
Timithy M Dunham MD PA Optometrist Past Accepting new patients

Locations

9630 N Oracle Rd
Ste 190
Oro Valley, AZ 85704
Phone (520) 989-9370

6691 N Thornydale Rd
Tucson, AZ 85741
Phone (520) 395-2619

5313 McPherson Rd
Laredo, TX 78041
Phone (956) 568-5441

Organizations & group practices 5

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1629057203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68066",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857378066",
            "telephone_number": "828-279-3300",
            "fax_number": "520-639-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6691 N THORNYDALE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412737",
            "telephone_number": "520-395-2619",
            "fax_number": "520-308-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1812",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.