Heidi Marie Flyg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13437 Issued in CA

Practice address

3801 Miranda Avenue
VA Palo Alto Health Care System (640/112)
Palo Alto, CA 94304

Phone

(650) 493-5000

Fax

(650) 496-2529

NPI assigned

Nov 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Heidi Marie Wilgenburg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1891949830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVENUE",
            "address_2": "VA PALO ALTO HEALTH CARE SYSTEM (640/112)",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-493-5000",
            "fax_number": "650-496-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVENUE",
            "address_2": "VA PALO ALTO HEALTH CARE SYSTEM (640/112)",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-493-5000",
            "fax_number": "650-496-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYG",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "13437",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13437",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "WILGENBURG",
            "middle_name": "MARIE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Hernandez Flores, M.D.
• Catalina Flores
• Marissa C Floro, PHD
• Baraka Dechelle Floyd, MD, MSC
• Elizabeth Fluharty, NNP
• Melina Foden
• Alexis Hannah Fogel, MD
• Vincent Thomas Fok
• Luis Folan, MD
• Megan Adanna Foley, MD

• Optometrist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.