DALE D HEASTON (OD) – Optometrist, NPI 1003924374

DALE D HEASTON (OD) is a healthcare provider. based in Richland, Washington. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 1129 (WA). The NPI Number for DALE D HEASTON (OD) is 1003924374

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DALE D HEASTON (OD)
NPI
1003924374
Phone
(509) 943-3171
Address
1321 AARON DR
Enumeration Date
28 August 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5099433171
Graduation Year
1976 (50 years ago)
PAC ID
2062507858
Group Practice PAC ID
0941199285
Professional Enrollment ID
I20120130000847
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DALE D HEASTON (OD)

  • 1321, Aaron Drive, Richland, Benton County, Washington, 99352, United States

    PO BOX 610

    RICHLAND, WA 993524678

    Phone: (509) 943-3171

    Fax: (509) 946-0905

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2023-10-03 • Largest payer in this snapshot: CooperVision Inc. ($88).

Total Amount

$88

General + Research + Ownership

Payments

1

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$88
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120130000847IOptometryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99352)

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Provider's Procedures

DALE D HEASTON (OD) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYWA92012Eye and medical examination for diagnosis and treatment, established patient521251
OPTOMETRYWA92083Measurement of field of vision during daylight conditions6259
OPTOMETRYWA92134Diagnostic imaging of retina157115

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941199285View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

Can I use this page to confirm DALE D HEASTON (OD)'s NPI?
Yes. DALE D HEASTON (OD) is listed with NPI 1003924374 in the public NPI dataset.
Is DALE D HEASTON (OD) listed as active for patients and plans?
The listing shows DALE D HEASTON (OD) as active in the NPI system.
What is DALE D HEASTON (OD) best known for clinically?
Directory data describes DALE D HEASTON (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DALE D HEASTON (OD) based?
DALE D HEASTON (OD) is tied to Richland, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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