Individual provider Active NPI

Samuel Joseph Herbert, O.D.

  • Optometrist
  • Napa, CA
National Provider Identifier
1023396355
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14187 Issued in CA
Practice address
1104 Pear Tree LN
Napa, CA 94558-6446
Phone
(707) 252-5380
Fax
(707) 252-5384
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14187 CA Primary

Addresses

Primary practice location

1104 Pear Tree LN
Napa, CA 94558-6446

Mailing address

1104 Pear Tree LN
Napa, CA 94558-6446
Phone (707) 252-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20140414000163 CA Practitioner - Optometry 8224260872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Napa Valley Optometric GRP a Prof CorpGroup PAC ID 5890742399, 4 clinicians

Practice addresses (Care Compare)

1104 Pear Tree Lane
Napa, CA 94558-6446

1104 Pear Tree LN
Napa, CA 94558-6446
Phone (707) 252-5380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: sherbert704116@direct.ochin.org

Organizations & group practices 1

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1023396355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586446",
            "telephone_number": "707-252-5380",
            "fax_number": "707-252-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586446",
            "telephone_number": "707-252-5380",
            "fax_number": "707-252-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.