Individual provider Active NPI

Ralph Herold, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1093942724
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002527 Issued in GA
Practice address
840 United Avenue Unit a
Atlanta, GA 30312
Phone
(404) 627-0690
Fax
(404) 627-0740
NPI assigned
Jun 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002527 GA Primary

Addresses

Primary practice location

840 United Avenue Unit a
Atlanta, GA 30312

Mailing address

840 United Avenue Unit a
Atlanta, GA 30312
Phone (404) 627-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20090916000023 GA Practitioner - Optometry 4880740851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

840 United Ave SE
Unit a
Atlanta, GA 30312-3683
Phone (404) 627-0690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RH Eyes Inc Optometrist CurrentSince Jul 16, 2013 Accepting new patients

Locations

3425 Lenox Rd NE
Atlanta, GA 30326
Phone (404) 237-6210

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": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1093942724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 UNITED AVENUE UNIT A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30312",
            "telephone_number": "404-627-0690",
            "fax_number": "404-627-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 UNITED AVENUE UNIT A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30312",
            "telephone_number": "404-627-0690",
            "fax_number": "404-627-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.