DOUGLAS HEATON (NPI# 1306077995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306077995 |
| Entity Type | Individual |
| Full Name | DOUGLAS HEATON |
| Practice Address |
3917 Broadway St Mount Vernon IL 62864-2205 |
| Mailing Address |
5000 Cheshire Pkwy N Plymouth MN 55446-4103 |
| Practice Telephone | 6182421120 |
| Practice Fax Number | 6182424171 |
| Mailing Telephone | 8883339152 |
| Mailing Fax Number | 7632684240 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 2627 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
3917 BROADWAY ST |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679742183 | Illinois Express Vision Center, Mattoon Inc | Optometrist | 3917 Broadway St, Times Square Mall, Mount Vernon, IL 62864-2290 | 2008-02-28 |
| 1699824235 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3917 Broadway St, Times Square Mall, Mount Vernon, IL 62864-2205 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093089591 | Donald P Zietz | Hearing Instrument Specialist | 1810 E College Way, Suite 110, Mount Vernon, WA 98273-2362 | 2012-03-01 |
| 1548480080 | Vickie Mccowen | Hearing Instrument Specialist | 4121 Watertower Place, Suite 3, Mount Vernon, IL 62864-2347 | 2007-04-26 |
| 1033743752 | Martin Jay Stephens | Hearing Instrument Specialist | 1306 Broadway, Mount Vernon, IL 62864 | 2020-03-03 |
| 1033588819 | Justin Jenkins | Hearing Instrument Specialist | 1050 W Hayward Dr, Mount Vernon, MO 65712-6329 | 2015-09-22 |
| 1053749564 | Donald P. Zietz | Hearing Instrument Specialist | 1810 E College Way, Suite 110, Mount Vernon, WA 98273-2362 | 2013-10-18 |
| 1811243181 | Brian Christopher George | Hearing Instrument Specialist | 1050 W Hayward Dr, Mount Vernon, MO 65712-6329 | 2012-07-24 |
| 1477734929 | Melissa Marie Lee | Hearing Instrument Specialist | 1050 W Hayward Dr, Mount Vernon, MO 65712-6329 | 2007-11-26 |
| 1962504035 | Glenda Marie Gillaspy | Hearing Instrument Specialist | 1050 W Hayward Dr, Mount Vernon, MO 65712-6329 | 2006-09-01 |
| 1578665550 | Mid - America Hearing Center, Inc | Hearing Instrument Specialist | 1050 W Hayward Dr, Mount Vernon, MO 65712-6329 | 2006-09-01 |
| 1851493993 | Troy Alan Adrian | Hearing Instrument Specialist | 1050 W Hayward Dr, Mount Vernon, MO 65712-6329 | 2006-09-01 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on DOUGLAS HEATON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.