Bethany Heinz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3213-035 Issued in WI

Practice address

1682 S Koeller St
Oshkosh, WI 54902-6166

Phone

(920) 376-9626

Fax

(920) 376-9676

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Bethany McKittrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyemart Express LLC

  • Eyewear Supplier
  • Oshkosh, WI
  • NPI 1508546797
  NPD
• Edie Bowman OD LLC

  • Optometrist
  • Fort Collins, CO
  • NPI 1811167158
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1821174426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1122 BARNWOOD CT",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428555",
            "telephone_number": "920-840-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 S KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026166",
            "telephone_number": "920-376-9626",
            "fax_number": "920-376-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2425",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3213-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "MCKITTRICK",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Helen Hecht
• Holly A Hedge, APNP
• Darren M Heesacker, MD
• Angelea Heider, MD
• Robert Heil, DDS
• Benjamin Joseph Heinzen, M.D.
• Alana Heiting
• Rick Helm, M.A.
• Carol J. Hemauer, RN, BSN, MSOM, L.AC.
• Hendrickson Chiropractic Office S.C.

• Optometrist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.