Individual provider Active NPI

Heidi Fike Calladine, OD

  • Optometrist
  • Warrenton, VA
National Provider Identifier
1720154115
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001691 Issued in VA
Practice address
508 Fletcher Dr
Warrenton, VA 20186-2183
Phone
(540) 216-7632
Fax
(540) 216-7636
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001691 VA Primary
Optometrist 152W00000X TA2024 MD
Optometrist 152W00000X TUV007377 NY

Addresses

Primary practice location

508 Fletcher Dr
Warrenton, VA 20186-2183

Mailing address

508 Fletcher Dr
Warrenton, VA 20186-2183
Phone (540) 216-7632

Other names 1

  • Heidi Elizabeth Fike Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20080609000329 VA Practitioner - Optometry 1759451396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warrenton Eye AssociatesGroup PAC ID 4082995949, 2 clinicians

Practice addresses (Care Compare)

508 Fletcher Dr
Warrenton, VA 20186-2183
Phone (540) 216-7632

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2024MDMDOptometrist
TUV007377NYMDOptometrist
0618001691VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Warrenton Eye Associates Optometrist CurrentSince May 16, 2016 Accepting new patients
Creative Optical, LLC Past Accepting new patients
Dr David a Tufts O D PLLC Optometrist PastSince Nov 1, 2007 Accepting new patients
David a Ewing-Chow, MD, PLLC Past Accepting new patients

Locations

508 Fletcher Dr
Warrenton, VA 20186
Phone (540) 216-7632

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1720154115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 FLETCHER DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862183",
            "telephone_number": "540-216-7632",
            "fax_number": "540-216-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FLETCHER DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862183",
            "telephone_number": "540-216-7632",
            "fax_number": "540-216-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLADINE",
        "first_name": "HEIDI",
        "middle_name": "FIKE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001691",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2024",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "FIKE",
            "middle_name": "ELIZABETH",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.