Individual provider Active NPI

Friedrich Johannes Heiby, O.D.

  • Optometrist
  • Zanesville, OH
National Provider Identifier
1962471458
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4936 Issued in OH
Practice address
1038 Maple Ave
Zanesville, OH 43701-3029
Phone
(740) 453-2020
NPI assigned
Mar 16, 2006
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4936 OH Primary

Addresses

Primary practice location

1038 Maple Ave
Zanesville, OH 43701-3029

Mailing address

2983 Center Dr
Zanesville, OH 43701-1430
Phone (740) 450-8100

Other identifiers 1

IdentifierTypeStateIssuer
2420053MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110222000349 OH Practitioner - Optometry 4486835600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1038 Maple Ave
Zanesville, OH 43701-3029
Phone (740) 452-1364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4936OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Zanesville Vision Care LLC Past Accepting new patients
Ronald W Downing OD Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: friedrich.heiby@direct.revolutionehr.com

Organizations & group practices 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1962471458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2983 CENTER DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011430",
            "telephone_number": "740-450-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013029",
            "telephone_number": "740-453-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIBY",
        "first_name": "FRIEDRICH",
        "middle_name": "JOHANNES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2420053",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.