HERITAGE OPTICAL CENTER INC
NPI 1285728964
Optometrist in Detroit, MI

Q: What is Heritage Optical Center Inc's NPI number?

The NPI number for Heritage Optical Center Inc is 1285728964. It was assigned to this organization in the NPPES registry on October 3, 2006.

Q: What is Heritage Optical Center Inc's specialty?

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

Active since October 03, 2006

19010 LIVERNOIS AVE, DETROIT, MI 48221(313) 863-9581(313) 863-7710 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Heritage Optical Center Inc NPPES

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

HERITAGE OPTICAL CENTER INC (NPI 1285728964) is a healthcare organization registered as an optometrist in Detroit, Michigan and active in the NPI registry since October 2006. The organization lists George P Barnes, Owner Ceo, as its authorized official.

NPPES Registry Identity

NPI1285728964

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameHERITAGE OPTICAL CENTER INC

Location Address19010 LIVERNOIS AVEDetroit, MI 48221-2259

Mailing Address19010 Livernois AveDetroit, MI 48221-2259 · (313) 863-9581 · Fax (313) 863-7710

Phone(313) 863-9581

Fax(313) 863-7710

Organization SubpartNo

Authorized OfficialGeorge P BarnesOwner Ceo · (313) 863-9585

Enumeration DateOctober 3, 2006

Last NPPES UpdateDecember 20, 2023

NPPES CertifiedDecember 20, 2023

✔ NPI 1285728964 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 MI · 4601003146

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.

19010 LIVERNOIS AVE, Detroit, MI 48221

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Other Identifiers 3

Medicaid2831091MI

Medicaid4971556MI

Medicaid5102658MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heritage Optical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 22 clinicians reassign Medicare billing to Heritage Optical Center Inc, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Optometry21

Ophthalmology1

Nearest to this location (20)

See all 22

Lanny Green, M.D.

Ophthalmology

NPI 1972557858

23077 GREENFIELD RD 144
Southfield, MI 48075

(248) 569-6120

✔ PECOS✔ Accepts Medicare3.8 mi

Rovetta Mattia, OD

Optometry

NPI 1366497661

735 JOHN R RD STE 150
Troy, MI 48083

(248) 577-3659

✔ PECOS✔ Accepts Medicare8.1 mi

Dawn Caldwell, OD

Optometry

NPI 1649311697

87 MONROE ST
Detroit, MI 48226

(313) 965-2740

✔ PECOS8.3 mi

Katherine Anderson, OD

Optometry

NPI 1124500699

87 MONROE ST
Detroit, MI 48226

(313) 965-2740

✔ PECOS8.3 mi

Jennifer Dudovitz, O.D.

Optometry

NPI 1790720225

28655 HOOVER RD
Warren, MI 48093

(586) 751-0400

✔ PECOS8.6 mi

Laura Bahorski, O.D.

Optometry

NPI 1932249091

18193 E 8 MILE RD
Eastpointe, MI 48021

(586) 771-7720

✔ PECOS✔ Accepts Medicare10 mi

Iqjyot Gill, O.D.

Optometry

NPI 1851053003

20525 MACK AVE
Grosse Pointe Woods, MI 48236

(313) 881-3249

✔ PECOS12 mi

Mary Ference, OD

Optometry

NPI 1073734224

2550 S TELEGRAPH RD STE 100
Bloomfield Hills, MI 48302

(248) 258-9000

✔ PECOS14 mi

Wassim Fakih, OD

Optometry

NPI 1396443206

50877 ROCKINGHAM DR
Canton, MI 48188

(248) 880-4947

✔ PECOS20 mi

Robert Kocembo, O.D.

Optometry

NPI 1730118878

40566 ALDEN RD
Belleville, MI 48111

(313) 719-8967

✔ PECOS21 mi

Robert Deck, O.D.

Optometry

NPI 1437177342

81 INDIANWOOD RD SUITE 1
Lake Orion, MI 48362

(248) 693-2321

✔ PECOS25 mi

Puja Desai, O.D.

Optometry

NPI 1992050967

1588 N ARLINGTON HEIGHTS RD
Arlington Heights, IL 60004

(847) 306-4477

✔ PECOS✔ Accepts Medicare249 mi

Fatima Karim, O.D.

Optometry

NPI 1538545611

1 MID AMERICA PLZ STE 250
Oakbrook Terrace, IL 60181

(630) 684-0204

✔ PECOS261 mi

Tiffany Marcoe

Optometry

NPI 1083182950

1140 BALTIMORE PIKE
Springfield, PA 19064

(269) 290-5176

✔ PECOS442 mi

Brian Lewy, OD

Optometry

NPI 1750379087

16 E 52ND ST STE 500
New York, NY 10022

(212) 752-1212

✔ PECOS488 mi

Al'tiana Manning, OD

Optometry

NPI 1821615873

1979 MARCUS AVENUE SUITE 206
Lake Success, NY 11042

(516) 243-8611

✔ PECOS503 mi

Rachel Hawran, O.D.

Optometry

NPI 1528084662

96 DANBURY RD
Ridgefield, CT 06877

(203) 438-5855

✔ PECOS504 mi

Jodi Bergstrom, O.D.

Optometry

NPI 1568511095

416 SUPERIOR AVENUE
Centuria, WI 54824

(715) 646-1336

✔ PECOS✔ Accepts Medicare513 mi

Angelica Jones, OD

Optometry

NPI 1104418490

778 BEAL PKWY NW
Fort Walton Beach, FL 32547

(850) 586-7888

✔ PECOS849 mi

Terri-Ann Echague, O.D.

Optometry

NPI 1952557555

3961 NIGHTHAWK DR
Weston, FL 33331

(954) 593-0902

✔ PECOS1,139 mi

See all 22 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Heritage Optical Center Inc's NPI number?

The NPI number for Heritage Optical Center Inc is 1285728964. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Heritage Optical Center Inc located?

Heritage Optical Center Inc is located at 19010 Livernois Ave, Detroit, MI 48221. The listed phone number is (313) 863-9581.

What is Heritage Optical Center Inc's specialty?

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

Is Heritage Optical Center Inc enrolled in Medicare?

Yes. Heritage Optical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heritage Optical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 2 Medicare specialties reassign their Medicare billing to Heritage Optical Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (21) and Ophthalmology (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Heritage Optical Center Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 8 other insurers list Heritage Optical Center Inc 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 Heritage Optical Center Inc was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.