DR. CRYSTAL S HEFNER O.D.
NPI 1154311389
Optometrist in Newton, NC

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
110 E A ST, NEWTON, NC 28658(828) 464-4136(828) 464-6243 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Crystal S Hefner O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRYSTAL S HEFNER O.D. (NPI 1154311389) is an individual optometrist in Newton, North Carolina, licensed in North Carolina (0990) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1979).

NPPES Registry Identity

NPI1154311389
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. CRYSTAL S HEFNERCredential: O.D.
Location Address110 E A STNewton, NC 28658-3343
Mailing AddressPo Box 446Newton, NC 28658-0446 · (828) 464-4136 · Fax (828) 464-6243
Fax(828) 464-6243
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1979
Enumeration DateOctober 27, 2005
Last NPPES UpdateNovember 1, 2012
NPI 1154311389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NC · 0990
Definition

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.

110 E A ST, Newton, NC 28658

Other Identifiers 13

OtherNC0990NC · Eyemed Vision Care
Other09833NC · Nc State Employees
Medicare NSC0124960001NC
Medicare PIN246293NC
Other09833NC · Blue Cross Blue Shield
Other09833NC · Nc Health Choice
Other09833NC · Blue Cross Blue Shield Nc
Other10261NC · Opticare
Other271874NC · Mamsi
Medicaid89-09833NC
Other22-42466NC · United Healthcare
Other89-09833NC · Nc Division Of The Blind
Medicare UPINT64839NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Crystal S Hefner O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214091982
PECOS Enrollment IDI20090123000390
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,890 services11 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
184 services173 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
85 services85 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
31 services25 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
22 services19 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28658 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
110 E A ST
NEWTON, NC 28658

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Hefner's NPI number?

The NPI number for Crystal Hefner is 1154311389. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Crystal Hefner located?

Crystal Hefner practices at 110 E A St, Newton, NC 28658. The listed phone number is (828) 464-4136.

What is Crystal Hefner's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Crystal Hefner enrolled in Medicare?

Yes. Crystal Hefner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Crystal Hefner accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 4 other insurers list Crystal Hefner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Hefner was last updated on November 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.