Paul L. Heller, OPTICIAN

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004726-1 Issued in NY

Practice address

185 W Merrick Rd
Freeport, NY 11520-3712

Phone

(516) 867-1213

Fax

(516) 867-1214

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Eyeworld LTD

  • Optometrist
  • Freeport, NY
  • NPI 1740359983
  NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1720012891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203712",
            "telephone_number": "516-867-1213",
            "fax_number": "516-867-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203712",
            "telephone_number": "516-867-1213",
            "fax_number": "516-867-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "PAUL",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4715",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "6545",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004726-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00847345",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madisan Simone Haslam, LPN
• Horace A Hawthorne, DO
• Health Quest Medical Supply Inc.
• Madeline Heit, LCSW
• Jeffrey A. Heller, OPTICIAN
• Susan Heller
• Help Services, Inc.
• Shanay Alexis Henderson
• Belize Hendrick-Joseph, RN
• Karline Henry-Triebel

• Optometrist in Freeport, NY
• Providers in Freeport, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.