NPIMap

Organization Active NPI

Barry S. Herndon, O.D., Inc.

  • Optometrist
  • Carmel, IN
National Provider Identifier
1154510824
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001707A Issued in IN
Legal business name
BARRY S. HERNDON, O.D., INC.
Practice address
5248 Faye CT
Carmel, IN 46033-7218
Phone
(317) 509-2225
Fax
(317) 570-2260
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Barry S Herndon, O.D.NPI 1447371844
Title
President
Phone
(317) 509-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001707A IN Primary

Addresses

Primary practice location

5248 Faye CT
Carmel, IN 46033-7218

Mailing address

5248 Faye CT
Carmel, IN 46033-7218
Phone (317) 509-2225

National Provider Directory

National Provider Directory

Locations

1235 S Reed Rd
Kokomo, IN 46902
Phone (765) 459-5117

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1154510824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 FAYE CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337218",
            "telephone_number": "317-509-2225",
            "fax_number": "317-570-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 FAYE CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337218",
            "telephone_number": "317-509-2225",
            "fax_number": "317-570-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY S. HERNDON, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-509-2225",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001707A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.