DR. HEAVIN BORTZ MAIER (NPI# 1861478869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861478869 |
| Entity Type | Individual |
| Full Name | DR. HEAVIN BORTZ MAIER |
| Credential | OD |
| Practice Address |
412 E 30th Ave Spokane WA 99203 |
| Mailing Address |
3022 E 57th Ave Ste 11 Spokane WA 99223-7033 |
| Practice Telephone | 5094487300 |
| Practice Fax Number | 5094487382 |
| Mailing Telephone | 5094487300 |
| Mailing Fax Number | 5094487382 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | ODP-100061 | ID | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2970AT | OR | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 3911 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2029569 | 05 | |
| WA | LABOR AND INDUSTRY | 0191247 | 01 |
| Street Address |
412 E 30TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770038895 | Avpr, Pllc | Optometrist | 412 E 30th Ave, Spokane, WA 99203-2556 | 2016-08-18 |
| 1831644079 | Laurie Martinchuk | Occupational Therapist | 412 E 30th Ave, Spokane, WA 99203-2556 | 2016-08-17 |
| 1285099093 | Kellen Robertson | Optometrist | 412 E 30th Ave, Spokane, WA 99203 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992541 | Ashley Thunder Hawk | Massage Therapist | 1001 W 25th Ave # 2, Spokane, WA 99203 | 2018-11-28 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1356731988 | Rebekah Elizabeth Alice | Midwife | 417 E 28th Ave, Spokane, WA 99203 | 2015-02-03 |
| 1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
| 1952687386 | Providence Phsyician Services | Family Medicine | 1919 S. Grand Blvd., Spokane, WA 99203 | 2011-10-31 |
| 1033411103 | Patricia Mary Bedalov | Speech-Language Pathologist | 1017 W. 26th Ave., Spokane, WA 99203 | 2010-11-23 |
| 1841591310 | Travis Craig Romney | Chiropractor | 1403 S Grand Blvd., Suite 101s, Spokane, WA 99203 | 2010-11-15 |
| 1942518154 | South Hill Pediatric Dentistry | Dentist | 2020 E 29th Avenue, 130, Spokane, WA 99203 | 2010-09-22 |
| 1942512421 | Judy Lynn Budrow | Massage Therapist | 1805 E. 36th, Spokane, WA 99203 | 2010-07-13 |
| 1871741843 | Elisabeth Carroll Bagby | Massage Therapist | 132 W. 32nd Ave., Spokane, WA 99203 | 2008-09-03 |
| Find all providers in zip 99203 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942832845 | Trinity Vision Pllc | Optometrist | 4750 N Division St Ste 282, Spokane, WA 99207-1433 | 2020-02-07 |
| 1104464536 | Washington Eyes, LLC | Optometrist | 5011 W Lowell Ave Ste 120, Spokane, WA 99208-8587 | 2019-12-17 |
| 1447772041 | Lindsay Sue Kleinschmit | Optometrist | 4815 N Assembly St Bldg 30, Spokane, WA 99205-6185 | 2017-07-14 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1568816718 | Kristine Black | Optometrist | 4750 N Division St Ste 205, Spokane, WA 99207-1416 | 2016-04-13 |
| 1871967042 | Washington Eye Care Center PC | Optometrist | 126 N Washington St, Spokane, WA 99201-0223 | 2015-11-25 |
| 1134526916 | Dr Z Eyecare | Optometrist | 5503 N Wall St Ste A, Spokane, WA 99205-6402 | 2014-11-22 |
| 1801204144 | Keegan Kenneth Bench | Optometrist | 510 S Colwey, Spokane, WA 99202 | 2014-07-30 |
| 1700217403 | Nanette Brisbane, O.d., Pllc | Optometrist | 251 E 5th Ave, Suite A, Spokane, WA 99202-1327 | 2013-12-05 |
| 1174957161 | Blink Eyecare, Pllc | Optometrist | 1118 N Inland St, Spokane, WA 99224-7050 | 2013-08-26 |
| Find all providers in SPOKANE | ||||
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| 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.