Individual provider Active NPI

Dawn Spirk Heffelfinger, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1770653271
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ1108 Issued in AZ
Practice address
114 W Camelback Rd
Suite 1
Phoenix, AZ 85013-2563
Phone
(602) 264-4104
Fax
(602) 241-0687
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AZ1108 AZ Primary

Addresses

Primary practice location

114 W Camelback Rd
Suite 1
Phoenix, AZ 85013-2563

Mailing address

114 W Camelback Rd
Suite 1
Phoenix, AZ 85013-2563
Phone (602) 264-4104

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
I20050601000053 AZ Practitioner - Optometry 7214979202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DSH OD LLCGroup PAC ID 7416188123, 2 clinicians

Practice addresses (Care Compare)

114 W Camelback Rd
1 Camelback Eye Care
Phoenix, AZ 85013-2563
Phone (602) 264-4104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ1108AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DSH OD, LLC Optometrist CurrentSince Jan 1, 2014 Accepting new patients
Aleta B. Gong-Tang, OD, PC Optometrist PastSince Oct 23, 2023 Accepting new patients

Locations

114 W Camelback Rd
Phoenix, AZ 85013
Phone (602) 264-4104

114 W Camelback Rd
Ste 1
Phoenix, AZ 85013
Phone (602) 264-4104

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1770653271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W CAMELBACK RD",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132563",
            "telephone_number": "602-264-4104",
            "fax_number": "602-241-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W CAMELBACK RD",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132563",
            "telephone_number": "602-264-4104",
            "fax_number": "602-241-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFELFINGER",
        "first_name": "DAWN",
        "middle_name": "SPIRK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ1108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.