Individual provider Active NPI

Stuart William Heller, O.D.

  • Optometrist
  • Camarillo, CA
National Provider Identifier
1932157906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5401 Issued in CA
Practice address
391 Carmen Dr
Camarillo, CA 93010-6033
Phone
(805) 482-8849
Fax
(805) 388-8516
NPI assigned
May 4, 2006
Sex
Male
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
Optometrist 152W00000X 5401 CA Primary

Addresses

Primary practice location

391 Carmen Dr
Camarillo, CA 93010-6033

Mailing address

391 Carmen Dr
Camarillo, CA 93010-6033
Phone (805) 482-8849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110125000413 CA Practitioner - Optometry 1355520263 Reassigns benefits to 1 organization
Practice locations: Ventura, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5401CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strickland Optometric Corporation Optometrist CurrentSince Mar 1, 2016 Accepting new patients
Jon Sills Optometrist CurrentSince Mar 1, 2016 Accepting new patients
McCarthy Optometric Group a Professional Corporation Optometrist PastSince Oct 16, 2022 Accepting new patients
Camarillo All Eyecare Optometry Inc Optometrist PastSince Apr 1, 2016 Accepting new patients

Locations

4601 Telephone Rd
Ste 109
Ventura, CA 93003
Phone (805) 642-4185

Organizations & group practices 4

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932157906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 CARMEN DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106033",
            "telephone_number": "805-482-8849",
            "fax_number": "805-388-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 CARMEN DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106033",
            "telephone_number": "805-482-8849",
            "fax_number": "805-388-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "STUART",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.