Organization Active NPI

R.M. Heston OD PC

  • Optometrist
  • Mason City, IA
National Provider Identifier
1740485572
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01526 Issued in IA
Legal business name
R.M. HESTON OD PC
Practice address
1411 4TH SW
Mason City, IA 50401
Phone
(641) 423-7555
Fax
(641) 423-8291
NPI assigned
Jun 20, 2007
Last updated
Mar 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Robert Michael Heston, O.D.NPI 1558368258
Title
Doctor/Owner
Phone
(641) 423-7555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 01526 IA Primary

Addresses

Primary practice location

1411 4TH SW
Mason City, IA 50401

Mailing address

1411 4TH SW
Mason City, IA 50401
Phone (641) 423-7555

Other identifiers 1

IdentifierTypeStateIssuer
0700490MedicaidIA

National Provider Directory

National Provider Directory

Locations

1411 4th St SW
Mason City, IA 50401
Phone (641) 423-7554

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1740485572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 4TH SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "50401",
            "telephone_number": "641-423-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 4TH SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "50401",
            "telephone_number": "641-423-7555",
            "fax_number": "641-423-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.M. HESTON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "HESTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "641-423-7555",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0700490",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.