Active NPI
John C. Heiby, O.D., F.A.A.O.
- Optometrist
- Saint Clairsville, OH
National Provider Identifier
1790778074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2873/T481
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287306 | Other | OH | WORKERS COMP. |
| 0447562 | Other | OH | MEDICARE MEDICAL CLAIMS PTAN |
| OH0337504 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2873 | OH | MD | Chiropractor |
| 2873/T481 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocucare Ophthalmic Services, PLLC | Optometrist | Past | 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.
-
- Optometrist
- Saint Clairsville, OH
- NPI 1942859897
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.