Individual provider Active NPI

Jamison J Heffron, OD

  • Optometrist
  • Glasgow, KY
National Provider Identifier
1760480297
Registry record updated May 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1319DT Issued in KY
Practice address
507 S L Rogers Wells Blvd
Suite B
Glasgow, KY 42141-1047
Phone
(270) 629-2015
Fax
(270) 629-2016
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1319DT KY Primary

Addresses

Primary practice location

507 S L Rogers Wells Blvd
Suite B
Glasgow, KY 42141-1047

Mailing address

507 S L Rogers Wells Blvd
Suite B
Glasgow, KY 42141-1047
Phone (270) 629-2015

Other identifiers 3

IdentifierTypeStateIssuer
410049287OtherALRAILROAD MEDICARE
000000199532OtherBCBS
77013191MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080602000482 KY Practitioner - Optometry 1355411471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

507 S L Rogers Wells Blvd E
Glasgow, KY 42141-1043
Phone (270) 629-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1319DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heffron Family Eye Care, PLLC Optometrist CurrentSince Jun 2, 2008 Accepting new patients

Locations

507 S L Rogers Wells Blvd
Ste E
Glasgow, KY 42141
Phone (270) 629-2015

507 S L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 629-2015

507 S L Rogers Wells Blvd
Ste B
Glasgow, KY 42141
Phone (270) 629-2015

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209859200000",
    "number": "1760480297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S L ROGERS WELLS BLVD",
            "address_2": "SUITE B",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411047",
            "telephone_number": "270-629-2015",
            "fax_number": "270-629-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S L ROGERS WELLS BLVD",
            "address_2": "SUITE B",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411047",
            "telephone_number": "270-629-2015",
            "fax_number": "270-629-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFRON",
        "first_name": "JAMISON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1319DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410049287",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000199532",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013191",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.