Individual provider Active NPI

Alisha M Heaton, OD

  • Optometrist
  • Post Falls, ID
National Provider Identifier
1659605848
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100199 Issued in ID
Practice address
1901 E Seltice Way
Post Falls, ID 83854-9647
Phone
(208) 667-2531
Fax
(208) 765-9385
NPI assigned
Sep 22, 2009
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 809 MT
Optometrist 152W00000X ODP-100199 ID Primary

Addresses

Primary practice location

1901 E Seltice Way
Post Falls, ID 83854-9647

Mailing address

16010 E Indiana Ave
Spokane Valley, WA 99216-1813
Phone (509) 928-8040

Other identifiers 2

IdentifierTypeStateIssuer
1659605848MedicaidID
2071233MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20120302000511 ID Practitioner - Optometry 2961661442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Idaho Eye Institute P aGroup PAC ID 8820182736, 11 clinicians

Practice addresses (Care Compare)

1814 Lincoln Way
Coeur D Alene, ID 83814-2540
Phone (208) 667-2531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
809MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Partners Physicians, P.C. Optometrist CurrentSince Sep 30, 2021 Accepting new patients
Inland Pediatric Ophthalmology and Strabismus P.L.L.C. CurrentSince Jul 18, 2020 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Current Accepting new patients
North Idaho Eye Institute P a Optometrist CurrentSince Jun 26, 2023 Accepting new patients
North Idaho Cataract & Laser Ctr Past Accepting new patients
Eye Care for You Optometrist PastSince Aug 2, 2005 Accepting new patients

Locations

1814 Lincoln Way
Coeur D Alene, ID 83814
Phone (208) 667-2531

2175 N Main St
Coeur D Alene, ID 83814
Phone (208) 664-9888

2175 N Main St
Ste A
Coeur D Alene, ID 83814
Phone (208) 664-9888

8378 N Government Way
Hayden, ID 83835
Phone (208) 209-7100

30544 Highway 200
Ste 309
Ponderay, ID 83852
Phone (208) 667-2531

1901 E Seltice Way
Post Falls, ID 83854
Phone (208) 667-2531

1412 SW 43rd St
Ste 310
Renton, WA 98057
Phone (425) 235-1200

795 N 5th Ave
Sequim, WA 98382
Phone (360) 658-6224

Interoperability endpoints

  • Direct secure messaging: aheaton@northidahoeye.intellechartdirect.net
  • Direct secure messaging: aheaton@nwes.intellechartdirect.net

Organizations & group practices 6

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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1659605848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16010 E INDIANA AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161813",
            "telephone_number": "509-928-8040",
            "fax_number": "509-928-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549647",
            "telephone_number": "208-667-2531",
            "fax_number": "208-765-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "ALISHA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "809",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659605848",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071233",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.