Heather Zutaut, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

001785T Issued in GA

Practice address

1545 Powers Ferry Rd SE
Marietta, GA 30067-9412

Phone

(770) 952-6412

Fax

(678) 369-7212

NPI assigned

Jul 10, 2006

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

Other names 1

• Dr. Heather Zutaut Deahl Other name

Medicare fee-for-service enrollment

Enrolled in GA

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

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wildwood Eye Care LLCGroup PAC ID 5890839138, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Wildwood Eye Care LLC

  • Optometrist
  • Marietta, GA
  • NPI 1396073862
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment NPD
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Tyrone, GA
  • NPI 1275326571
  NPD
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Kennesaw, GA
  • NPI 1881175339
  NPD
• Wildwood Eye Care LLC

  • Optometrist
  • Dawsonville, GA
  • NPI 1609768464
  NPD
• Atlanta Vision Cataract & Laser Center PC

  • Ophthalmology Physician
  • Hapeville, GA
  • NPI 1598972069
  NPD (past)
• Southeast Eye Surgery Center, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1629120928
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1699709246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 POWERS FERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679412",
            "telephone_number": "770-952-6412",
            "fax_number": "678-369-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 POWERS FERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679412",
            "telephone_number": "770-952-6412",
            "fax_number": "678-369-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUTAUT",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-01-28",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001785T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000862551C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DEAHL",
            "middle_name": "ZUTAUT",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• ZNJ Usmani Corporation LLC
• Tracy Zoblisein, PHARMD
• Huijun Zou
• Alan M Zuckerman, MD
• Francisco Javier Zuleta, NP
• Anna Zuver, LMT
• Laura Vanesa Zviovich, LPC, NCC
• Rena Beth Zweben, PH.D.

• Optometrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.