Individual provider Active NPI

David John Herron, O.D.

  • Optometrist
  • Braintree, MA
National Provider Identifier
1093788242
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA3190 Issued in MA
Practice address
250 Granite St
Suite 2069
Braintree, MA 02184-2804
Phone
(781) 849-9944
Fax
(781) 848-1023
NPI assigned
Feb 8, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MA3190 MA Primary

Addresses

Primary practice location

250 Granite St
Suite 2069
Braintree, MA 02184-2804

Mailing address

250 Granite St
Suite 2069
Braintree, MA 02184-2804
Phone (781) 849-9944

Other identifiers 8

IdentifierTypeStateIssuer
0353086MedicaidMA
2200359OtherMAUNITED HEALTH CARE
08474OtherMAAETNA
B20925201OtherMACIGNA
W15730OtherMABCBS
150936OtherMAHARVARD HMO
763496OtherMATUFTS HMO
MA3190OtherMAEYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050217000513 MA Practitioner - Optometry 4789636721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Braintree Eye Associates, PCGroup PAC ID 0648226118, 3 clinicians

Practice addresses (Care Compare)

250 Granite St
Suite 2069
Braintree, MA 02184-2804
Phone (781) 849-9944

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3190MAMDChiropractor
MA3190MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Braintree Eye Associates, PC Optometrist CurrentSince Feb 5, 2005 Accepting new patients

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, 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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1093788242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GRANITE ST",
            "address_2": "SUITE 2069",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842804",
            "telephone_number": "781-849-9944",
            "fax_number": "781-848-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GRANITE ST",
            "address_2": "SUITE 2069",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842804",
            "telephone_number": "781-849-9944",
            "fax_number": "781-848-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA3190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353086",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2200359",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "08474",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B20925201",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W15730",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD HMO",
            "identifier": "150936",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HMO",
            "identifier": "763496",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MA3190",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.