NPIMap

Organization Active NPI

Heartland Optical Inc.

  • Optometrist
  • Grand Island, NE
National Provider Identifier
1831562032
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1004 Issued in NE
Legal business name
HEARTLAND OPTICAL INC.
Practice address
1437 N Webb Rd
Grand Island, NE 68803-2313
Phone
(308) 382-9205
NPI assigned
Nov 10, 2015
Organization subpart
Yes
Parent organization
HEARTLAND OPTICAL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Mr. Thomas M Conrad
Title
President
Phone
(402) 476-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1004 NE Primary

Addresses

Primary practice location

1437 N Webb Rd
Grand Island, NE 68803-2313

Mailing address

1437 N Webb Rd
Grand Island, NE 68803-2313
Phone (308) 382-9205

National Provider Directory

National Provider Directory
Tax ID family
Heartland Optical Inc4 organizations share this tax ID, including this one
Part of
Heartland Optical Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1831562032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688032313",
            "telephone_number": "308-382-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688032313",
            "telephone_number": "308-382-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OPTICAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND OPTICAL INC.",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-476-3311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.