Active NPI
Heather R Betsko, O.D.
- Optometrist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1386
- Practice address
- 777 W Southern Ave
Suite 515
Mesa, AZ 85210-5008 - Phone
- (480) 461-3937
- Fax
- (480) 461-0331
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1386 | AZ | Primary |
Addresses
Primary practice location
777 W Southern Ave
Suite 515
Mesa, AZ 85210-5008
Mailing address
745 W Baseline Rd Ste 21
Mesa, AZ 85210-6023
Phone (480) 461-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
745 W Baseline Rd
Suite 21
Mesa, AZ 85210-6023
Phone (480) 461-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1386 | AZ | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather Betsko, LLC | Optometrist | Current | Accepting new patients |
Locations
1040 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 893-8776
777 W Southern Ave
Ste 515
Mesa, AZ 85210
Phone (480) 461-0331
745 W Baseline Rd
Ste 21
Mesa, AZ 85210
Phone (480) 461-3937
Interoperability endpoints
- direct@acuityeyecentermesaaz.compulinkdirect.com
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": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1841287364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 W BASELINE RD STE 21",
"city": "MESA",
"state": "AZ",
"postal_code": "852106023",
"telephone_number": "480-461-3937",
"fax_number": "480-461-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 W SOUTHERN AVE",
"address_2": "SUITE 515",
"city": "MESA",
"state": "AZ",
"postal_code": "852105008",
"telephone_number": "480-461-3937",
"fax_number": "480-461-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETSKO",
"first_name": "HEATHER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.