Active NPI
Dawn Spirk Heffelfinger, OD
- Optometrist
- Phoenix, AZ
National Provider Identifier
1770653271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AZ1108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ1108 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DSH OD, LLC | Optometrist | Current | Accepting new patients |
| Aleta B. Gong-Tang, OD, PC | Optometrist | Past | 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.
-
- Optometrist
- Phoenix, AZ
- NPI 1316368509
-
- Optometrist
- Phoenix, AZ
- NPI 1235301896
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.