Active NPI
R.M. Heston OD PC
- Optometrist
- Mason City, IA
National Provider Identifier
1740485572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 01526
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Michael Heston, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700490 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Mason City, IA
- NPI 1558368258
-
- Optometrist
- Mason City, IA
- NPI 1407880883
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.