Individual provider Active NPI

Adam Herold, OD

  • Optometrist
  • Richmond, VA
National Provider Identifier
1043268022
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000230 Issued in VA
Practice address
5000 Bakers Mill LN Ste 170
Richmond, VA 23230-2432
Phone
(804) 359-0770
Fax
(804) 359-1106
NPI assigned
May 4, 2006
Last updated
May 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000230 VA Primary

Addresses

Primary practice location

5000 Bakers Mill LN Ste 170
Richmond, VA 23230-2432

Mailing address

5000 Bakers Mill LN Ste 170
Richmond, VA 23230-2432
Phone (804) 359-0770

Other identifiers 1

IdentifierTypeStateIssuer
010063698MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040426000139 VA Practitioner - Optometry 7719973528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lebow Eye Associates PCGroup PAC ID 2769478726, 3 clinicians
Capital Eye Care Doctors of Optometry PCGroup PAC ID 6406859164, 2 clinicians

Practice addresses (Care Compare)

221 E Broadway
Hopewell, VA 23860-2809
Phone (804) 458-5819

5000 Bakers Mill LN
Suite 170
Richmond, VA 23230-2432
Phone (804) 359-0770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1761NCMDRecreation Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Eye Care, Doctors of Optometry, PC Optometrist CurrentSince Jun 1, 2005 Accepting new patients
Lebow Eye Associates, P.C. Optometrist CurrentSince Jan 1, 2004 Accepting new patients
Lebow Eye Associates, P.C. Optometrist CurrentSince Jan 1, 2004 Accepting new patients
Charlotte Optometry Group PA Optometrist Past Accepting new patients

Locations

221 E Broadway Ave
Hopewell, VA 23860
Phone (804) 458-5819

109 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 272-2020

4911 W Broad St
Richmond, VA 23230
Phone (804) 359-0770

5000 Bakers Mill Ln
Ste 170
Richmond, VA 23230
Phone (804) 359-0770

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1043268022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BAKERS MILL LN STE 170",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302432",
            "telephone_number": "804-359-0770",
            "fax_number": "804-359-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BAKERS MILL LN STE 170",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302432",
            "telephone_number": "804-359-0770",
            "fax_number": "804-359-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010063698",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.