Active NPI
Heffington Optical Company Inc
Doing business as OptiLand
- Optician
- Springfield, MO
National Provider Identifier
1912052176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- HEFFINGTON OPTICAL COMPANY INC
- Doing business as
- OptiLand
- Practice address
- 640 W Chestnut St
Springfield, MO 65806-1016 - Phone
- (417) 869-3937
- Fax
- (417) 869-0281
- NPI assigned
- Jan 25, 2007
- Last updated
- Mar 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Heffington
- Title
- Accounting
- Phone
- (417) 869-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | NU | Primary |
Addresses
Primary practice location
640 W Chestnut St
Springfield, MO 65806-1016
Mailing address
PO Box 774
Springfield, MO 65801-0774
Phone (417) 869-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 322243700 | Medicaid | MO |
Other names 1
- OptiLand
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2218443 | Heffington Optical Company Inc | Certificate of waiver | Mar 28, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Heffington Optical Co Inc | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
640 W Chestnut St
Springfield, MO 65806
Phone (417) 869-3937
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Springfield, MO
- NPI 1932405784
-
- Optometrist
- Springfield, MO
- NPI 1972287548
-
- Optometrist
- Springfield, MO
- NPI 1669821914
-
- Optometrist
- Salem, MO
- NPI 1487616124
-
- Optometrist
- Springfield, MO
- NPI 1043100605
-
- Optometrist
- Springfield, MO
- NPI 1972070191
-
- Optometrist
- Springfield, MO
- NPI 1891820205
-
- Optometrist
- West Plains, MO
- NPI 1083649313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456876800000",
"number": "1912052176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 774",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658010774",
"telephone_number": "417-869-3937",
"fax_number": "417-869-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 W CHESTNUT ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658061016",
"telephone_number": "417-869-3937",
"fax_number": "417-869-0281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEFFINGTON OPTICAL COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2016-03-02",
"status": "A",
"authorized_official_last_name": "HEFFINGTON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "ACCOUNTING",
"authorized_official_telephone_number": "417-869-3937"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "322243700",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OptiLand",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.