Individual provider Active NPI

Jessica Heinen, OD

  • Optometrist
  • Hartford, CT
National Provider Identifier
1750880209
Registry record updated Sep 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003064 Issued in CT
Practice address
45 Asylum St
Hartford, CT 06103-2208
Phone
(860) 522-2020
NPI assigned
Feb 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003064 CT Primary

Addresses

Primary practice location

45 Asylum St
Hartford, CT 06103-2208

Mailing address

379 Prospect St Ste B
Torrington, CT 06790-5238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190205001061 CT Practitioner - Optometry 9638417355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Optometric Care PCGroup PAC ID 3678800109, 11 clinicians

Practice addresses (Care Compare)

45 Asylum St
Hartford, CT 06103-2208
Phone (860) 256-8766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003064CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Optometric Care PC Optometrist CurrentSince May 15, 2020 Accepting new patients

Locations

110 Albany Tpke
Canton, CT 06019
Phone (860) 256-8766

325 Burnham St
East Hartford, CT 06108

14 Hazard Ave
Enfield, CT 06082
Phone (860) 256-8766

45 Asylum St
Hartford, CT 06103
Phone (860) 256-8766

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694217600000",
    "number": "1750880209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 PROSPECT ST STE B",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ASYLUM ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032208",
            "telephone_number": "860-522-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.