Individual provider Active NPI

John C. Heiby, O.D., F.A.A.O.

  • Optometrist
  • Saint Clairsville, OH
National Provider Identifier
1790778074
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2873/T481 Issued in OH
Practice address
156 Woodrow Ave
Suite # 1
Saint Clairsville, OH 43950-1196
Phone
(740) 695-2860
Fax
(740) 695-1466
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2873/T481 OH Primary

Addresses

Primary practice location

156 Woodrow Ave
Suite # 1
Saint Clairsville, OH 43950-1196

Mailing address

156 Woodrow Ave
Suite # 1
Saint Clairsville, OH 43950-1196
Phone (740) 695-2860

Other identifiers 3

IdentifierTypeStateIssuer
287306OtherOHWORKERS COMP.
0447562OtherOHMEDICARE MEDICAL CLAIMS PTAN
OH0337504MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2873OHMDChiropractor
2873/T481OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocucare Ophthalmic Services, PLLC Optometrist PastSince May 14, 2023 Accepting new patients

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1790778074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WOODROW AVE",
            "address_2": "SUITE # 1",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501196",
            "telephone_number": "740-695-2860",
            "fax_number": "740-695-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WOODROW AVE",
            "address_2": "SUITE # 1",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501196",
            "telephone_number": "740-695-2860",
            "fax_number": "740-695-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIBY",
        "first_name": "JOHN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2873/T481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP.",
            "identifier": "287306",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEDICAL CLAIMS PTAN",
            "identifier": "0447562",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OH0337504",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.