Michael E Heil, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001426TX Issued in WA

Practice address

2505 S 38TH St
Suite a-108
Tacoma, WA 98409-7375

Phone

(253) 472-1188

Fax

(253) 472-3594

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1841276144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S 38TH ST",
            "address_2": "SUITE A-108",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097375",
            "telephone_number": "253-472-1188",
            "fax_number": "253-472-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 38TH ST",
            "address_2": "SUITE A-108",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097375",
            "telephone_number": "253-472-1188",
            "fax_number": "253-472-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIL",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001426TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN SOUTH CENTER",
            "identifier": "G8889818",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003416",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDACARE PIN SOUTH CENTER",
            "identifier": "G8889817",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN TACOMA",
            "identifier": "GAB16987",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Heid
• Caroline Emma Heidbreder, PHYSICIAN ASSISTANT
• Brooke Gresham Heide, LMP
• Heidi Jones LLC
• Thomas Lawrence Heidinger
• Henry Castle Heim, DDS
• Elizabeth Heinrich
• Anastasia Sergeevna Heins, PA-C
• Aimee Marie Heinze
• Matthew Owen Heisel, M.D.

• Optometrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.