Gail C Herron Jr

Primary specialty

OptometristTaxonomy code 152W00000X

License

2889/T1183 Issued in OH

Legal business name

GAIL C HERRON JR

Practice address

2400 Southeast Blvd
Salem, OH 44460-3481

Phone

(330) 332-8801

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Gail C Herron Jr.

Title

Owner

Phone

(330) 332-8801

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1104095454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SOUTHEAST BLVD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603481",
            "telephone_number": "330-332-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SOUTHEAST BLVD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603481",
            "telephone_number": "330-332-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL C HERRON JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-332-8801",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2889/T1183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0339824",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Austin Fredrickson Jr., M.D.
• Frencor Inc
• James Ervin Friedl III, DO
• Erin Fuschetto
• Theodore Marino Ezekiel Gagianas, PA-C
• Erin Ruth Gallo, PT
• Abby L Galloway
• James Duane Gardner
• Tammy Garver, MS
• Betsy Jo Garwood-Wilhelm, NP-C

• Optometrist in Salem, OH
• Providers in Salem, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.