Charles D. Heck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

945DT Issued in KY

Practice address

1705 Frederica St
Owensboro, KY 42301-4814

Phone

(270) 683-2121

Fax

(270) 683-3167

NPI assigned

Mar 17, 2006

Last updated

Dec 5, 2016By 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 5

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

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.

• Owensboro Eyecare Center PLLC

  • Optometrist
  • Owensboro, KY
  • NPI 1770649188
  Medicare reassignment NPD Authorized official
• Bluegrass Eye Care, PLLC

  • Optometrist
  • Owensboro, KY
  • NPI 1134946304
  NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1710956990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014814",
            "telephone_number": "270-683-2121",
            "fax_number": "270-683-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014814",
            "telephone_number": "270-683-2121",
            "fax_number": "270-683-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECK",
        "first_name": "CHARLES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "945DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009454",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77904019",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01058277",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS NUMBER",
            "identifier": "000000354038",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K040190",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthstat Onsite Clinic Davies County Fiscal Court
• Healthstat Onsite Clinic HSM Owensboro
• Hearing by Design Kentucky, LLC
• Crystal Heath, RN
• Madison Hebner, OTR/L
• Chelsea Hedden
• Caitlin Faye Heep
• Mohamed Hegazy, MD
• Rhine Nahid Hejran, M.D.
• Help the MD (Moolani Health Management)

• Optometrist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.