Jon David Heaverlo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

02187 Issued in IA

Practice address

131 N Main St
Chariton, IA 50049-1270

Phone

(641) 774-7507

Fax

(641) 774-0466

NPI assigned

Apr 19, 2006

Last updated

Sep 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osceola Vision Center PCGroup PAC ID 9537151261, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: direct@osceolavisioncenterosceolaia.compulinkdirect.com

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.

• Osceola Vision Center P.C.

  dba Osceola Vision Center, Chariton Vision Center, Ottumwa Eye Care

  • Optometrist
  • Osceola, IA
  • NPI 1891832788
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1669437968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N 5TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491238",
            "telephone_number": "641-774-7507",
            "fax_number": "641-774-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N MAIN ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491270",
            "telephone_number": "641-774-7507",
            "fax_number": "641-774-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVERLO",
        "first_name": "JON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CHARITON",
            "identifier": "26834",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC OTT",
            "identifier": "0277610004",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OSCEOLA",
            "identifier": "26830",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OTTUMWA",
            "identifier": "34213",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5219121",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6219121",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMERC OVC",
            "identifier": "0277610001",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821921",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC CVC",
            "identifier": "0277610002",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Joyce Fischer-Short, ARNP, FNP-BC
• Miranda Millie Gebhart, NP-C
• Tamisha Ann Marie Hall
• Abigail Faye Hamilton, ARNP
• Hammer Incorporated (Nucara Home Medical)
• Larry D Hirschy, DC
• Peter Kenneth Hoftiezer, D.O.
• Homestead of Chariton Memory Care
• Sharon Hopkins-Brinegar, ARNP
• Hy-Vee Inc (Hy-Vee Pharmacy (1065))

• Optometrist in Chariton, IA
• Providers in Chariton, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.