Individual provider Active NPI

Heidi Frank Reitano, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1760437289
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
889 Issued in AZ
Practice address
1809 W Tonto Dr
Chandler, AZ 85248-4853
Phone
(480) 917-5406
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 889 AZ Primary

Addresses

Primary practice location

1809 W Tonto Dr
Chandler, AZ 85248-4853

Mailing address

1809 W Tonto Drive
Chandler, AZ 85248
Phone (480) 917-5406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101027000450 AZ Practitioner - Optometry 5193917227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care at the PromenadeGroup PAC ID 7911969407, 3 clinicians

Practice addresses (Care Compare)

2860 S Alma School Rd
28 Eye Care Professionals
Chandler, AZ 85248-4395
Phone (480) 732-9040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
889AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care at the Promenade Optometrist CurrentSince Jan 1, 2001 Accepting new patients

Locations

2860 S Alma School Rd
Ste 28
Chandler, AZ 85286
Phone (480) 732-9040

2860 S Alma School Rd
Chandler, AZ 85286
Phone (480) 732-9040

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1760437289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W TONTO DRIVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85248",
            "telephone_number": "480-917-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W TONTO DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484853",
            "telephone_number": "480-917-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITANO",
        "first_name": "HEIDI",
        "middle_name": "FRANK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.