Heritage Optical Center Inc - Medicare Optometrist in Detroit, MI

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Heritage Optical Center Inc is a medicare enrolled "Optometrist" provider in Detroit, Michigan. Their current practice location is 19010 Livernois Ave, Detroit, Michigan. You can reach out to their office (for appointments etc.) via phone at (313) 863-9581.

Heritage Optical Center Inc is licensed to practice in Michigan (license number 4601003146) and it also participates in the medicare program. Heritage Optical Center Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1285728964.

Contact Information

Heritage Optical Center Inc
19010 Livernois Ave,
Detroit, MI 48221-2259
(313) 863-9581
(313) 863-7710

Map and Direction




Healthcare Provider's Profile

Full NameHeritage Optical Center Inc
TypeFacility
SpecialityOptometrist
Location19010 Livernois Ave, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285728964
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 12/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052408986
  • Enrollment ID: O20071024000612

Medical Identifiers

Medical identifiers for Heritage Optical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285728964NPI-NPPES
2831091MedicaidMI
4971556MedicaidMI
5102658MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4601003146 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Heritage Optical Center Inc acts as a billing entity for following providers:
Provider NameLanny Green
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1972557858
PECOS PAC ID: 3072588193
Enrollment ID: I20060110000662
Provider NameRovetta Mattia
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1366497661
PECOS PAC ID: 7416969555
Enrollment ID: I20060608000113
Provider NameBradley Habermehl
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1356375463
PECOS PAC ID: 2365443314
Enrollment ID: I20070118000342
Provider NameDawn Kathleen Caldwell
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1649311697
PECOS PAC ID: 0941308522
Enrollment ID: I20070605000418
Provider NameLaura J Bahorski
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1932249091
PECOS PAC ID: 7911007315
Enrollment ID: I20070714000060
Provider NameRobert T Kocembo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730118878
PECOS PAC ID: 7214024009
Enrollment ID: I20071025000417
Provider NameRobert E Deck
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1437177342
PECOS PAC ID: 0648386862
Enrollment ID: I20130606000550
Provider NameJennifer N Dudovitz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790720225
PECOS PAC ID: 3870864929
Enrollment ID: I20170808000752
Provider NameFatima Karim
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1538545611
PECOS PAC ID: 1850641333
Enrollment ID: I20180904001812
Provider NameKatherine Anderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124500699
PECOS PAC ID: 1951733070
Enrollment ID: I20191112000458
Provider NameAlexandra D Heisler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1922411651
PECOS PAC ID: 1850698374
Enrollment ID: I20200813000522
Provider NameChisom O Chukwumerije
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275114837
PECOS PAC ID: 8426448358
Enrollment ID: I20220613001869
Provider NameTiffany Marcoe
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1083182950
PECOS PAC ID: 8921347303
Enrollment ID: I20220920000640
Provider NameIqjyot K Gill
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1851053003
PECOS PAC ID: 0749657708
Enrollment ID: I20221103001367
Provider NameWassim H Fakih
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396443206
PECOS PAC ID: 4082070248
Enrollment ID: I20230515002329
Provider NameAl'tiana Manning
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821615873
PECOS PAC ID: 5092103408
Enrollment ID: I20231019002984

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heritage Optical Center Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Heritage Optical Center Inc
19010 Livernois Ave,
Detroit, MI 48221-2259

Ph: (313) 863-9581		Heritage Optical Center Inc
19010 Livernois Ave,
Detroit, MI 48221-2259

Ph: (313) 863-9581

Reviews and Comments


Optometrist in Detroit, MI

Kayleigh Rohr, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4646 John R St, Detroit, MI 48201
Phone: 313-576-1000    
Dr. Robert Fredrick Lee Iii, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 15157 Gratiot Ave, Detroit, MI 48205
Phone: 313-526-7664    Fax: 313-526-2055
Dr. Sura Hassan, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201
Phone: 313-577-8900    Fax: 313-577-0700
Dr. Richard Edwin Gay, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 19173 Mack Ave, Detroit, MI 48230
Phone: 313-882-7883    Fax: 313-882-5128
Heritage Optical Inc.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2678 E Jefferson Ave, Detroit, MI 48207
Phone: 313-259-6006    
Dr. Linda Le,
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Orleans St Apt 1705, Detroit, MI 48207
Phone: 248-759-9202    

Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4717 Saint Antoine St, Detroit, MI 48201
Phone: 313-577-8900    Fax: 313-577-0700

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.