Katherine Helen Hertzberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010006 Issued in IL

Practice address

29 S Webster St Ste 104
Naperville, IL 60540-5353

Phone

(630) 357-6880

Fax

(630) 357-6880

NPI assigned

Jul 18, 2007

Last updated

Oct 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Raffertys Eye Encounters LLCGroup PAC ID 9032466404, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• IL PPO Downstate
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IL HMO C-SNP
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Raffertys Eye Encounters, LLC

  • Optometrist
  • Naperville, IL
  • NPI 1124519178
  Medicare reassignment Care Compare group
• Dr. Alan E. Knotek, Optometrist

  • Optometrist
  • Naperville, IL
  • NPI 1194977595
  NPD (past)
• Vision Source, P.C.

  • Optometrist
  • Orland Park, IL
  • NPI 1518151828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1013117043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405353",
            "telephone_number": "630-357-6880",
            "fax_number": "630-357-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405353",
            "telephone_number": "630-357-6880",
            "fax_number": "630-357-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZBERG",
        "first_name": "KATHERINE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beau Jacob Herion
• Amanda Hernandez, PHARMD
• Jay Anthony Hernandez, OT
• Luis Hernandez, MD
• Christian Herrera
• Stephen R. Hertzberg, D.D.S., M.S.
• Jean Hess, ED.D.
• Stephen Paul Hess, LCPC
• Jennifer A Hesser, MD
• Sarah Hester, MSED, BCBA

• Optometrist in Naperville, IL
• Providers in Naperville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.