Julie M. Heidish, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4661 Issued in OH

Practice address

3384 State Route 752
Ashville, OH 43103-9685

Phone

(740) 983-6171

Fax

(740) 983-6587

NPI assigned

Feb 28, 2007

Last updated

Dec 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of Ohio, LLC

  dba MyEyeDr.

  • Optometrist
  • Dayton, OH
  • NPI 1902365448
  Medicare reassignment Care Compare group NPD
• Julie M Heidish OD Inc

  • Optometrist
  • Ashville, OH
  • NPI 1851584148
  Authorized official Same address or phone
• Myeyedr Optometry of Ohio, LLC

  dba MyEyeDr.

  • Optometrist
  • Springfield, OH
  • NPI 1396384244
  NPD
• Myeyedr Optometry of Ohio, LLC

  dba MyEyeDr.

  • Optometrist
  • Warren, OH
  • NPI 1720970981
  NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1669509428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 STATE ROUTE 752",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431039685",
            "telephone_number": "740-983-6171",
            "fax_number": "740-983-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3384 STATE ROUTE 752",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431039685",
            "telephone_number": "740-983-6171",
            "fax_number": "740-983-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDISH",
        "first_name": "JULIE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210677",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Christine Green
• Brooklyn Dyan Green
• Lisa Lea Gribler
• Michelle Pence Hamilton, PT
• Harrison Township (Harrison Township Fire Department)
• Michael S Heidish, OD
• Cassondra Dee Holbert, LPTA
• Olivia Grace Hutchison
• Julie M Heidish OD Inc
• Katrina Kelley

• Optometrist in Ashville, OH
• Providers in Ashville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.