Individual provider Active NPI

Donna Trauscht Heinrich, O.D.

  • Optometrist
  • San Juan Capistrano, CA
National Provider Identifier
1831681881
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8883-TPA Issued in CA
Practice address
32241 Camino Capistrano Ste A101
San Juan Capistrano, CA 92675-3708
Phone
(949) 661-3669
Fax
(949) 661-4634
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT8883-TPA CA Primary

Addresses

Primary practice location

32241 Camino Capistrano Ste A101
San Juan Capistrano, CA 92675-3708

Mailing address

26192 Via Estelita
San Juan Capistrano, CA 92675-3036
Phone (949) 233-9124

Other identifiers 1

IdentifierTypeStateIssuer
1003003096MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220509001832 CA Practitioner - Optometry 1153708359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph G. Heinrich, O.D., a.P.C.Group PAC ID 3577651645, 2 clinicians

Practice addresses (Care Compare)

32241 Camino Capistrano
Suite A101
San Juan Capistrano, CA 92675-3708
Phone (949) 661-3669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT8883-TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph G. Heinrich, O.D., a.P.C. Optometrist CurrentSince Apr 25, 2022 Accepting new patients

Locations

32241 Camino Capistrano
Ste A101
San Juan Capo, CA 92675
Phone (949) 661-3669

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1831681881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26192 VIA ESTELITA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753036",
            "telephone_number": "949-233-9124",
            "fax_number": "949-661-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32241 CAMINO CAPISTRANO STE A101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753708",
            "telephone_number": "949-661-3669",
            "fax_number": "949-661-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "DONNA",
        "middle_name": "TRAUSCHT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8883-TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003003096",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.