Bryce Randal Heffington, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2018038605 Issued in MO

Practice address

1350 E Woodhurst Dr
Springfield, MO 65804-4281

Phone

(417) 882-3937

Fax

(417) 887-8551

NPI assigned

Oct 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

Southern College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heffingtons House of Vision IncGroup PAC ID 3072802099, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Heffington'S House of Vision Inc

  • Optometrist
  • Springfield, MO
  • NPI 1861527251
  Medicare reassignment Care Compare group NPD
• Heffington Optical Company Inc

  • Optician
  • Springfield, MO
  • NPI 1912052176

  Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1972070191",
    "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": "1350 E WOODHURST DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044281",
            "telephone_number": "417-882-3937",
            "fax_number": "417-887-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 W Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061016",
            "country_code": "US",
            "telephone_number": "417-869-3937",
            "fax_number": "417-869-0281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEFFINGTON",
        "first_name": "BRYCE",
        "middle_name": "RANDAL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2018038605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William K Hecox, OD
• Susan Hedgpeth, CD
• Laura A. Hediger, FNP
• Cassie Rae Heffern, PHARMD
• Heffington Optical Company Inc
• Mark R Heffington, ABOC-FNAO
• Heffington'S House of Vision Inc
• Jody Nathaniel Hefner, D.O.
• Katherine Quinn Hefner, MD
• Ryan Michael Hegg, M.D.

• Optometrist in Springfield, MO
• Providers in Springfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.