Leo Frank Hettiger, OPTOMETRIST

Primary specialty

Sports Vision OptometristTaxonomy code 152WS0006X

License

046007547 Issued in IL

Practice address

1205 N Olive Rd
Flora, IL 62839-2344

Phone

(618) 662-4045

Fax

(618) 662-3402

NPI assigned

Apr 14, 2006

Last updated

Feb 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drhettiger@hettigereyecare.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephen E Kraft LLC

  • Ophthalmology Physician
  • Florissant, MO
  • NPI 1285624858
  NPD (past)
• Talley Medical-Surgical Eye Care Associates PC

  dba Talley Eye Institute

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1154319143
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1821052846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N OLIVE RD",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628392344",
            "telephone_number": "618-662-4045",
            "fax_number": "618-662-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N OLIVE RD",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628392344",
            "telephone_number": "618-662-4045",
            "fax_number": "618-662-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTIGER",
        "first_name": "LEO",
        "middle_name": "FRANK",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IL",
            "license": "046007547",
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MO",
            "license": "T02518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Care Management Corporation
• Lara Healy, OTR
• Valerie Jill Henderson, RN REGISTERED NURSE
• Jennifer Henson, RN, CHC
• Heritage Woods LLC
• Stacy Lynn Hilderbrand, CNA
• Roberta Hinman, LCSW
• Jeanne E. Holdren, APN
• Cole Honeyman
• Amanda Lyann Horvet, BCBA

• Optometrist in Flora, IL
• Providers in Flora, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.

Verify at the official NPI Registry.