Active NPI
Jessica Dixon Heinke, O.D.
- Optometrist
- Woodstock, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009519
- Practice address
- 233 Washington St
Woodstock, IL 60098-3399 - Phone
- (815) 338-0674
- Fax
- (815) 338-6139
- NPI assigned
- Aug 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 3133-035 | WI | |
| Optometrist | 152W00000X | 3133-035 | WI | |
| Pediatric Optometrist | 152WP0200X | 046-009519 | IL | |
| Pediatric Optometrist | 152WP0200X | 3133-035 | WI | |
| Optometrist | 152W00000X | 046-009519 | IL | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 046-009519 | IL |
Addresses
Primary practice location
233 Washington St
Woodstock, IL 60098-3399
Mailing address
233 Washington St
Woodstock, IL 60098-3399
Phone (815) 338-0674
Other practice location 1
835 Geneva Pkwy N Ste 3
Lake Geneva, WI 53147-5700
Phone (262) 248-4878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5632090 | Other | IL | IL BCBS |
| 7333267 | Other | IL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
233 Washington St
Woodstock, IL 60098-3399
835 Geneva Pkwy N
Suite 3
Lake Geneva, WI 53147-5700
Phone (262) 248-4878
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009519 | IL | MD | Optometrist |
| 3133-035 | WI | MD | Optometrist |
| 1173 | SC | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Eye Care of Lake Geneva, S.C. | Optometrist | Current | Accepting new patients |
Locations
835 Geneva Pkwy N
Ste 3
Lake Geneva, WI 53147
Phone (262) 248-3800
Organizations & group practices 2
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.
-
- Optometrist
- Lake Geneva, WI
- NPI 1144463571
-
- Optometrist
- Woodstock, IL
- NPI 1649307547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1720089865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 WASHINGTON ST",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600983399",
"telephone_number": "815-338-0674",
"fax_number": "815-338-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 WASHINGTON ST",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600983399",
"telephone_number": "815-338-0674",
"fax_number": "815-338-6139"
}
],
"practiceLocations": [
{
"address_1": "835 Geneva Pkwy N Ste 3",
"address_purpose": "LOCATION",
"city": "Lake Geneva",
"state": "WI",
"postal_code": "531475700",
"country_code": "US",
"telephone_number": "262-248-4878",
"fax_number": "262-248-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEINKE",
"first_name": "JESSICA",
"middle_name": "DIXON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "WI",
"license": "3133-035",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3133-035",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "IL",
"license": "046-009519",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "WI",
"license": "3133-035",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009519",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IL",
"license": "046-009519",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL BCBS",
"identifier": "5632090",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7333267",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.