Heather Anne Bourdeau, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4373-TP Issued in MA

Practice address

587 Hartford Ave
White River Junction, VT 05001-8031

Phone

(802) 295-4887

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA, VT2 enrollments

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 2

Specialty

Optometry

Education

New England College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dufour Vision Care PLLCGroup PAC ID 7719498567, 5 clinicians

Practice addresses (Care Compare)

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.

• Dufour Vision Care PLLC

  • Optometrist
  • White River Junction, VT
  • NPI 1366257990
  Medicare reassignment Care Compare group NPD
• White River Family Eyecare, PC

  • Optometrist
  • White River Junction, VT
  • NPI 1104878206
  Medicare reassignment NPD
• The Elder Eye Care Group, Inc

  • Optometrist
  • Phoenixville, PA
  • NPI 1265469654
  Medicare reassignment NPD
• Vision Resources of Central Pennsylvania

  • Voluntary or Charitable Agency
  • Harrisburg, PA
  • NPI 1497947279

  PA

  Medicare reassignment NPD
• Bass River Optical, Inc.

  • Optometrist
  • Orleans, MA
  • NPI 1922155258
  NPD (past)
• Davinci Eye Care, LLC

  • Optometrist
  • Warminster, PA
  • NPI 1942464185
  NPD (past)
• Gordon a Price OD PC

  • Optometrist
  • Scituate, MA
  • NPI 1982882569
  NPD (past)
• Jessica Crooker, O.D., PLLC

  • Optometrist
  • Scituate, MA
  • NPI 1184166449
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1851457030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 HARTFORD AVE",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050018031",
            "telephone_number": "802-295-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 HARTFORD AVE",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050018031",
            "telephone_number": "802-295-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDEAU",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-01-30",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MA",
            "license": "4373-TP",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "VT",
            "license": "030.0133973",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MA",
            "license": "4373-TP",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4373-TP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7940836",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323501",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA85035",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "W16497",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elyse Bolander, OTR/L
• Mary Claire Bombard, M.A.
• Barbara L Bonney, RNCS LIP
• Sarah Booker
• Camille Myoko Botticelli-Pohl
• Kristin M Bradley, DMD
• Abigail Sue Breen, LADC
• Deborah Ann Bristol, PA-C
• James Bromwell, DC
• Suzanne Moyer Brooks, M.D.

• All providers in White River Junction, VT
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.

Verify at the official NPI Registry.