Active NPI
Raymond P Herrera, O.D.
- Optometrist
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 437
- Practice address
- 113 W Broadway
Farmington, NM 87401-6419 - Phone
- (505) 326-2020
- Fax
- (505) 327-5530
- NPI assigned
- Aug 13, 2006
- Last updated
- Oct 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 437 | NM | Primary |
Addresses
Primary practice location
113 W Broadway
Farmington, NM 87401-6419
Mailing address
113 W Broadway
Farmington, NM 87401-6419
Phone (505) 326-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2124 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 W Broadway
Farmington, NM 87401-6419
Phone (505) 326-2020
520 E Main
Vision Mart
Farmington, NM 87401-6419
Phone (505) 325-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 437 | NM | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Classic Eyewear, Inc | Optometrist | Current | Accepting new patients |
Locations
113 W Broadway
Farmington, NM 87401
Phone (505) 326-2020
520 E Main St
Farmington, NM 87401
Phone (505) 325-2020
Interoperability endpoints
- raymondbherrera@classiceyewear.direct.eyemdemr.com
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": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1134132228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 W BROADWAY",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016419",
"telephone_number": "505-326-2020",
"fax_number": "505-327-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W BROADWAY",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016419",
"telephone_number": "505-326-2020",
"fax_number": "505-327-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "RAYMOND",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P2124",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.