Individual provider Active NPI

Heather D Hartzell, M.D.

  • Ophthalmology Physician
  • Westborough, MA
National Provider Identifier
1902990096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
212440 Issued in MA
Practice address
4 Appleseed Dr
Westborough, MA 01581-3652
Phone
(508) 801-5833
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 212440 MA Primary

Addresses

Primary practice location

4 Appleseed Dr
Westborough, MA 01581-3652

Mailing address

4 Appleseed Dr
Westborough, MA 01581-3652
Phone (508) 801-5833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000123 DC Practitioner - Ophthalmology 3274598545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3650 Joseph Siewick Dr
Suite 303
Fairfax, VA 22033-1714
Phone (703) 657-0905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
212440MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Eye Center, PC Ophthalmology CurrentSince Dec 1, 2007 Accepting new patients
Martin E. Cutler, MD PC Ophthalmology PastSince May 1, 2011 Accepting new patients

Locations

3650 Joseph Siewick Dr
Ste 303
Fairfax, VA 22033
Phone (703) 262-0906

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902990096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 APPLESEED DR",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813652",
            "telephone_number": "508-801-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 APPLESEED DR",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813652",
            "telephone_number": "508-801-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZELL",
        "first_name": "HEATHER",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "212440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.