Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760540363 Individual Practitioner Male Practitioner

Dr. Von Scott Hieneman , OD

Optometrist • Ada, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Von Hieneman, OD is a certified Optometrist practicing in Ada, MI. With approximately 30 years of clinical experience since graduating from Indiana University - School Of Optometry in 1996, Dr. Hieneman delivers high-quality medical care to the local community at 6739 FULTON ST E.

Dr. Hieneman accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

6739 Fulton St E
Ste A-20

Ada, MI 493018138

Telephone 6166762015
Fax 6166762011
Associated Practice Facility / Clinic
🏢 Dzirbowicz Chiropractic, Plc Facility NPI 1407021751

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Ada, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +8.5 yrs vs City Avg
City Avg: 21.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Ada, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hieneman (30 Years) 30 Yrs
Ada Specialty Average (21.5 Years) 21.5 Yrs

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901003820

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4540404 (MI)
Commercial Insurance / Payer ID Bcbs
90 OD 166250 (MI)
Commercial Insurance / Payer ID Vsp Identifier
383455751 (MI)
Commercial Insurance / Payer ID Spectera
20235 (MI)
Commercial Insurance / Payer ID Eyemed
38-3455751 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1891880548

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2010

Registered at 6739 FULTON ST E, STE A-20, ADA, MI 493018138 (Tel: 6166762015)

📍
Updated Business Mailing Address November 29, 2010

Registered at 6739 FULTON ST E, STE. A-20, ADA, MI 493018138 (Tel: 6166762015)

👤
Provider Name / Credentials Updated November 29, 2010

Recorded as VON HIENEMAN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2010

Optometrist (License #4901003820 in MI)

🟢
Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760540363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: November 29, 2010
Sole Proprietor: Yes

Mailing Address

6739 Fulton St E, Ste. A-20

Ada, MI 493018138

Phone: 6166762015

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.