Individual provider Active NPI

Heather Danielle Adamson, OD

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1730817933
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10617T Issued in TX
Practice address
5425 S Padre Island Dr Ste 119B
Corpus Christi, TX 78411-5342
Phone
(361) 993-7778
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10617T TX Primary

Addresses

Primary practice location

5425 S Padre Island Dr Ste 119B
Corpus Christi, TX 78411-5342

Mailing address

5425 S Padre Island Dr Ste 119B
Corpus Christi, TX 78411-5342
Phone (361) 993-7778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220908000033 TX Practitioner - Optometry 3476937673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walz Vision PAGroup PAC ID 8729171855, 4 clinicians

Practice addresses (Care Compare)

5425 S Padre Island Dr
Suite 119B
Corpus Christi, TX 78411-5342
Phone (361) 993-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10617TTXMDOptometrist
10617TXMDPsychiatric Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Walz Vision PA Optometrist CurrentSince Aug 25, 2022 Accepting new patients

Locations

5425 Spid Dr
Corpus Christi, TX 78411
Phone (361) 980-8979

5425 Spid Dr
Ste 119B
Corpus Christi, TX 78411
Phone (361) 993-7778

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1730817933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 S PADRE ISLAND DR STE 119B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115342",
            "telephone_number": "361-993-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 S PADRE ISLAND DR STE 119B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115342",
            "telephone_number": "361-993-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMSON",
        "first_name": "HEATHER",
        "middle_name": "DANIELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10617T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.