Individual provider Active NPI

Jennifer Lee Heil, O.D.

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1689822660
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003546A Issued in IN
Practice address
524 E Morgan Street
Bloomington, IN 47408
Phone
(812) 829-2291
Fax
(812) 829-6131
NPI assigned
Sep 3, 2008
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003546A IN Primary

Addresses

Primary practice location

524 E Morgan Street
Bloomington, IN 47408

Mailing address

5110 N Brummetts Creek Rd
Bloomington, IN 47408-9616
Phone (812) 334-9929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20081218000740 IN Practitioner - Optometry 4981766300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

524 E Morgan St
Spencer, IN 47460-1544
Phone (812) 829-2291

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003546AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Optical, Inc. Optometrist Current Accepting new patients
Jennifer L. Heil, O.D., P.C. Optometrist CurrentSince Feb 17, 2010 Accepting new patients
Insights Optical, Inc. Optometrist PastSince Jun 1, 2008 Accepting new patients

Locations

524 E Morgan St
Spencer, IN 47460
Phone (765) 655-1759

Organizations & group practices 3

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1689822660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 N BRUMMETTS CREEK RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089616",
            "telephone_number": "812-334-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E MORGAN STREET",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47408",
            "telephone_number": "812-829-2291",
            "fax_number": "812-829-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIL",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003546A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.