Individual provider Active NPI

Heather Hildebrand O'Mara, OD

  • Optometrist
  • Chapel Hill, NC
National Provider Identifier
1962750828
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2281 Issued in NC
Practice address
11312 US 15 501 N
Ste 304
Chapel Hill, NC 27517-6375
Phone
(919) 933-6767
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2281 NC Primary

Addresses

Primary practice location

11312 US 15 501 N
Ste 304
Chapel Hill, NC 27517-6375

Mailing address

415 Timber Cut LN
Apex, NC 27502-9534
Phone (919) 740-3256

Other identifiers 1

IdentifierTypeStateIssuer
5921838MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20121018000497 NC Practitioner - Optometry 7315197837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

2216 E NC Hwy 54
Durham, NC 27713-2208
Phone (919) 544-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2281NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Optometric Center PA Optometrist CurrentSince Mar 1, 2015 Accepting new patients
John B. Marshall Optometrist PA Optometrist CurrentSince Aug 28, 2012 Accepting new patients

Locations

79 Falling Springs Dr
Ste 130
Chapel Hill, NC 27516
Phone (919) 933-6767

11312 US 15 501 N
Ste 304
Chapel Hill, NC 27517
Phone (919) 933-6767

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

320 S Churton St
Hillsborough, NC 27278
Phone (919) 732-5000

200 Perimeter Park Dr
Ste D
Morrisville, NC 27560
Phone (910) 893-4141

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1962750828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TIMBER CUT LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029534",
            "telephone_number": "919-740-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 US 15 501 N",
            "address_2": "STE 304",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275176375",
            "telephone_number": "919-933-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "HEATHER",
        "middle_name": "HILDEBRAND",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921838",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.