Individual provider Active NPI

Holly Heyse, OD

  • Optometrist
  • Glastonbury, CT
National Provider Identifier
1750951224
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3205 Issued in CT
Practice address
140 Glastonbury Blvd Ste 17
Glastonbury, CT 06033-4405
Phone
(860) 659-2020
NPI assigned
Jun 28, 2021
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3205 CT Primary

Addresses

Primary practice location

140 Glastonbury Blvd Ste 17
Glastonbury, CT 06033-4405

Mailing address

33 Blue Heron Dr
East Hampton, CT 06424-1368

Other names 1

  • Dr. Holly Knoechel Former name

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
I20210830002715 CT Practitioner - Optometry 1153727144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
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)

140 Glastonbury Blvd
Glastonbury, CT 06033-4402
Phone (860) 256-8766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Optometric Care PC Optometrist CurrentSince Jul 6, 2021 Accepting new patients
The Harvey & Lewis Co. Past Accepting new patients

Locations

325 Burnham St
East Hartford, CT 06108

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

140 Glastonbury Blvd
Ste 17
Glastonbury, CT 06033
Phone (860) 659-2020

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

32 Chamberlain Hwy
Kensington, CT 06037
Phone (860) 829-9090

Organizations & group practices 2

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1750951224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BLUE HERON DR",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064241368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GLASTONBURY BLVD STE 17",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334405",
            "telephone_number": "860-659-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYSE",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "KNOECHEL",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.