Heidi C Kopp, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3098 Issued in MN

Practice address

6575 Cahill Ave Ste 101
Inver Grove Heights, MN 55076-2065

Phone

(651) 451-1100

Fax

(651) 451-3939

NPI assigned

Aug 8, 2007

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heidi C Squires Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kopp & Olson Eye Care, Inc

  dba EyeWorks Optical

  • Optometrist
  • Inver Grove Heights, MN
  • NPI 1942721949
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1750572392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 CAHILL AVE STE 101",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550762065",
            "telephone_number": "651-451-1100",
            "fax_number": "651-451-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 CAHILL AVE STE 101",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550762065",
            "telephone_number": "651-451-1100",
            "fax_number": "651-451-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "HEIDI",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "SQUIRES",
            "middle_name": "C",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan Kirsch
• Sarah Kleban
• Lauren Klee, MD
• Jessica Taylor Knox, LMT
• Kopp & Olson Eye Care, Inc (EyeWorks Optical)
• Jamison Kortas
• Rachel Kos, OTR/L
• Brian Kraby, DDS
• Jessica Joan Krey, PHARMD
• Melissa Christine Krug, D.C.

• Optometrist in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.

Verify at the official NPI Registry.