Individual provider Active NPI

Heather Lynn Jozwiak, O.D.

  • Optometrist
  • Valparaiso, IN
National Provider Identifier
1902872195
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003384A Issued in IN
Practice address
2009 Roosevelt Rd
Suite D
Valparaiso, IN 46383-3765
Phone
(219) 462-5501
NPI assigned
Feb 27, 2006
Last updated
Mar 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003384A IN Primary

Addresses

Primary practice location

2009 Roosevelt Rd
Suite D
Valparaiso, IN 46383-3765

Mailing address

2009 Roosevelt Rd
Suite D
Valparaiso, IN 46383-3765
Phone (219) 462-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110204000127 IN Practitioner - Optometry 1456531722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2010 Calumet Ave
Suite B
Valparaiso, IN 46383-2918
Phone (219) 462-5501

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003384AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather L. Jozwiak OD PC Optometrist CurrentSince Nov 28, 2010 Accepting new patients
Stanley N. Blackman, O.D., P.C. Optometrist Past Accepting new patients

Locations

2009 Roosevelt Rd
Ste D
Valparaiso, IN 46383
Phone (219) 462-5501

2010 Calumet Ave
Ste B
Valparaiso, IN 46383
Phone (219) 462-5501

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1902872195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 ROOSEVELT RD",
            "address_2": "SUITE D",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833765",
            "telephone_number": "219-462-5501",
            "fax_number": "219-462-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 ROOSEVELT RD",
            "address_2": "SUITE D",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833765",
            "telephone_number": "219-462-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOZWIAK",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003384A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.