Heather Marie Burgess-Peterson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003806 Issued in MI

Practice address

1871 Holton Rd
Suite a
Muskegon, MI 49445-1594

Phone

(231) 719-9200

Fax

(231) 744-6782

NPI assigned

Aug 25, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Ferris State College - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

E.C. One, PLLC 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

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.

• E.C. One, PLLC

  • Optometrist
  • Fremont, MI
  • NPI 1639137508

  MI, Optometrist

  Medicare reassignment Care Compare group NPD
• HCL of West Michigan LLC

  • Optometrist
  • Muskegon, MI
  • NPI 1417065616
  NPD (past) Authorized official
• Eye Care One, PLLC

  • Optometrist
  • Spring Lake, MI
  • NPI 1033199153
  NPD (past)
• Kent Vision Centers Inc

  • Optometrist
  • Grand Rapids, MI
  • NPI 1912082298
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720071798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15780 RIDGE LN",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561557",
            "telephone_number": "231-719-9200",
            "fax_number": "231-744-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 HOLTON RD",
            "address_2": "SUITE A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451594",
            "telephone_number": "231-719-9200",
            "fax_number": "231-744-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS-PETERSON",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Bultema, LBSW CAC-II
• Stefanie Bumstead, PTA
• Whitney Lynn Bunts
• Brian Burdo, MD
• Adam Burger
• Kristin Burgess, LMSW
• Rebekah Anne Burgess
• David Joseph Burkard, MD
• Betty Burkett, HHA
• Latonya Trinette Burks

• All providers in Muskegon, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.