Individual provider Active NPI

Courtney Lynn Hegener, OD

  • Optometrist
  • Spartanburg, SC
National Provider Identifier
1679137343
Registry record updated Jun 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2130 Issued in SC
Practice address
2500 Winchester PL
Spartanburg, SC 29301-1550
Phone
(864) 300-4498
NPI assigned
Apr 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2130 SC Primary

Addresses

Primary practice location

2500 Winchester PL
Spartanburg, SC 29301-1550

Mailing address

4615 Tillman Bluff Rd
Valdosta, GA 31602-4965
Phone (229) 630-9500

Other practice location 1

701 Devika Dr Ste 3
Grovetown, GA 30813-5137
Phone (762) 222-7104

Other practice location 2

2465 Wrightsboro Rd
Augusta, GA 30904-6244
Phone (706) 738-1102

Other practice location 3

550 Eagles Landing Pkwy
Stockbridge, GA 30281-9081
Phone (770) 474-1237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20210923000083 SC Practitioner - Optometry 9234536939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven C. Nigh, OD, PA Optometrist CurrentSince Sep 20, 2021 Accepting new patients
Tippett Eyecare, PC Optometrist PastSince Jun 23, 2010 Accepting new patients
B3 Optical LLC Optometrist Past Accepting new patients
Tippett Eyecare, PC Optometrist Past Accepting new patients

Locations

765 Haywood Rd
Ste B1
Greenville, SC 29607
Phone (864) 234-5777

6015 Wade Hampton Blvd
Ste F
Taylors, SC 29687
Phone (864) 900-5027

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1679137343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 TILLMAN BLUFF RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316024965",
            "telephone_number": "229-630-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WINCHESTER PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011550",
            "telephone_number": "864-300-4498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Devika Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308135137",
            "country_code": "US",
            "telephone_number": "762-222-7104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2465 Wrightsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309046244",
            "country_code": "US",
            "telephone_number": "706-738-1102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Eagles Landing Pkwy",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302819081",
            "country_code": "US",
            "telephone_number": "770-474-1237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEGENER",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.