Heartland Vision Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1698DT Issued in KY

Legal business name

HEARTLAND VISION CENTER, PLLC

Practice address

3550 James Sanders Blvd
Paducah, KY 42001-9159

Phone

(502) 762-4855

NPI assigned

Jan 2, 2013

Last updated

Jan 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Reed, ODNPI 1396937850

Title

Owner

Phone

(502) 762-4855

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tiffany Deweese Reed, OD

  • Optometrist
  • Paducah, KY
  • NPI 1396937850
  NPD (past) Authorized official

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1922344423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "GRAND RIVERS",
            "state": "KY",
            "postal_code": "420450117",
            "telephone_number": "502-762-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 JAMES SANDERS BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019159",
            "telephone_number": "502-762-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND VISION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-762-4855",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1698DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Paducah, KY
• Providers in Paducah, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.