Heritage Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

3445ATI Issued in OR

Legal business name

HERITAGE EYECARE

Practice address

2169 14TH Ave SE
Albany, OR 97322-8510

Phone

(541) 926-2061

Fax

(541) 926-4845

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Analicia Nicole Czupryk, ODNPI 1710248638

Title

Optometrist/Manager

Phone

(503) 701-2557

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Analicia Nicole Czupryk, O.D.

  • Optometrist
  • Tigard, OR
  • NPI 1710248638
  Medicare reassignment NPD Authorized official
• Hannah Nohrenberg, O.D.

  • Optometrist
  • Woodland, WA
  • NPI 1952853517

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1760894356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 14TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973228510",
            "telephone_number": "541-926-2061",
            "fax_number": "541-926-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 14TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973228510",
            "telephone_number": "541-926-2061",
            "fax_number": "541-926-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "CZUPRYK",
        "authorized_official_first_name": "ANALICIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OPTOMETRIST/MANAGER",
        "authorized_official_telephone_number": "503-701-2557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3445ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1710248638",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Margaret Heinz
• Robert James Hejl, MD
• Hannah Noelle Henderson, MA
• Sara Emily Henricks
• Tera Henry-Shook
• Michael David Herman, PSYD
• Jessica Hernandez, CHW
• Samuel Marcos Hernandez
• Ashley Nicole Herndon-Dubra
• Jesse Albert Heuer, DO

• Optometrist in Albany, OR
• Providers in Albany, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.