Samantha Heater, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008327 Issued in NY

Practice address

4109 W Genesee St
Syracuse, NY 13219-1956

Phone

(781) 312-9039

Fax

(781) 321-8611

NPI assigned

Jun 22, 2015

Last updated

Aug 22, 2017By the provider in NPPES

Sex

Female

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 NY

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

Pennsylvania College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Surgeons of Central New York, P.C.Group PAC ID 7416135504, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Surgeons of Central New York, PC

  dba Eye Physicians of Central New York

  • Ophthalmology Physician
  • Liverpool, NY
  • NPI 1881725810

  Optometrist

  Medicare reassignment Care Compare group NPD
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Bay Optical, Inc

  • Optician
  • Glens Falls, NY
  • NPI 1073681169
  NPD (past)
• Eye Consultants of Syracuse PC

  • Durable Medical Equipment & Medical Supplies
  • Fulton, NY
  • NPI 1932892247
  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1982086484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "STE 4M",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883810",
            "telephone_number": "781-312-9039",
            "fax_number": "781-321-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191956",
            "telephone_number": "781-312-9039",
            "fax_number": "781-321-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATER",
        "first_name": "SAMANTHA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Head
• Christine Heagle Bahn, NP
• Madison Healey
• Cathleen E Healy, LPN
• Erin Marie Healy, FNP-C
• Joseph Heath, DO
• Michael John Heaton, RPH
• Sara E Hebert, NP
• Davis Taylor Hedbany, MD/MPH
• Elizabeth Cantwell Hedges, REGISTERED NURSE

• Optometrist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.