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DR. VON SCOTT HIENEMAN O.D.
NPI 1760540363
Optometrist in Ada, MI

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
6739 FULTON ST E, STE A-20, ADA, MI 49301(616) 676-2015(616) 676-2011 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Von Scott Hieneman O.d. NPPES

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

DR. VON SCOTT HIENEMAN O.D. (NPI 1760540363) is an individual optometrist in Ada, Michigan, licensed in Michigan (4901003820) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1996).

NPPES Registry Identity

NPI1760540363
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. VON SCOTT HIENEMANCredential: O.D.
Location Address6739 FULTON ST E, STE A-20Ada, MI 49301-8138
Mailing Address6739 Fulton St E, Ste. A-20Ada, MI 49301-8138 · (616) 676-2015 · Fax (616) 676-2011
Phone(616) 676-2015
Fax(616) 676-2011
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 1996
Enumeration DateDecember 5, 2006
Last NPPES UpdateNovember 29, 2010
✔ NPI 1760540363 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 · 4901003820
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.
6739 FULTON ST E, Ada, MI 49301
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Other Identifiers 8

Other90 OD 166250MI · Bcbs
Other383455751MI · Vsp Identifier
Medicaid4540404MI
Medicare NSC1290750001MI
Medicare PINOM91600MI
Other38-3455751MI · Eyemed
Other20235MI · Spectera
Medicare UPINU78049MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Von Scott Hieneman 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 ID1456335728
PECOS Enrollment IDI20040615000613
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49301 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 5

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

DR. MICHAEL HENRY DZIRBOWICZ D.C.
Chiropractor
6739 FULTON ST E, SUITE C-20
ADA, MI 49301
Kent County (616) 676-2888
LINDSEY A. VOGL, DDS, PLC
Dentist (General Practice)
6739 FULTON ST E, SUITE D-20
ADA, MI 49301
Kent County (616) 676-1800
DZIRBOWICZ CHIROPRACTIC, PLC
Chiropractor
6739 FULTON ST E, SUITE C-20
ADA, MI 49301
Kent County (616) 676-2888
DR. LINDSEY ANN VOGL D.D.S.
Dentist (General Practice)
6739 FULTON ST E, SUITE D-20
ADA, MI 49301
Kent County (616) 676-1800
DR. STACY L DAVIS O.D.
Optometrist
6739 FULTON ST E, STE A-20
ADA, MI 49301
Kent County (616) 676-2015

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 Von Hieneman's NPI number?

The NPI number for Von Hieneman is 1760540363. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Von Hieneman located?

Von Hieneman practices at 6739 Fulton St E Ste A-20, Ada, MI 49301. The listed phone number is (616) 676-2015.

What is Von Hieneman's specialty?

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

Is Von Hieneman enrolled in Medicare?

Yes. Von Hieneman 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 Von Hieneman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Priority Health and 1 other insurer list Von Hieneman 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 Von Hieneman was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.