Active NPI
Jerome M Hirsch, O.D.
- Optometrist
- Santa Maria, CA
National Provider Identifier
1013152263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5403
- Practice address
- 363 Town Ctr E
Santa Maria Town Ctr SPC G-73
Santa Maria, CA 93454-5159 - Phone
- (805) 922-6118
- NPI assigned
- Dec 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5403 | CA | Primary |
Addresses
Primary practice location
363 Town Ctr E
Santa Maria Town Ctr SPC G-73
Santa Maria, CA 93454-5159
Mailing address
363 Town Ctr E
Santa Maria Town Ctr SPC G-73
Santa Maria, CA 93454-5159
Phone (805) 922-6118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1013152263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 TOWN CTR E",
"address_2": "SANTA MARIA TOWN CTR SPC G-73",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545159",
"telephone_number": "805-922-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 TOWN CTR E",
"address_2": "SANTA MARIA TOWN CTR SPC G-73",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545159",
"telephone_number": "805-922-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCH",
"first_name": "JEROME",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.