Cecilia C Heiges

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007699 Issued in IL

Legal business name

CECILIA C HEIGES

Doing business as

Vision Fitness

Practice address

715 Hillgrove Avenue
La Grange, IL 60525-5964

Phone

(708) 482-3288

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cecilia Carroll Heiges, O.D.

Title

President

Phone

(708) 482-3200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VISION FITNESS Doing business as

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1629283122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HILLGROVE AVENUE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255964",
            "telephone_number": "708-482-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HILLGROVE AVENUE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255964",
            "telephone_number": "708-482-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA C HEIGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "HEIGES",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-482-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1684528",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5838702",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISION FITNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Bronke Wind DDS SC
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• Elizabeth Casper, OD
• Kisti Marie Catalano, M.D.
• Centered Counseling Services PLLC
• Linda Marie Cervenka, M.A.
• Chancellor Chiropractic, LTD.
• Desheng Chang, DO
• Chatterbox, Inc.

• Optometrist in La Grange, IL
• Providers in La Grange, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.