Individual provider Active NPI

Ira Herman, O.D.

  • Optometrist
  • Hudson Oaks, TX
National Provider Identifier
1174567234
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA04004 Issued in NJ
Practice address
2801 E Interstate 20
Hudson Oaks, TX 76087-8596
Phone
(213) 737-5207
Fax
(682) 738-2043
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA04004 NJ Primary

Addresses

Primary practice location

2801 E Interstate 20
Hudson Oaks, TX 76087-8596

Mailing address

2801 E Interstate 20
Hudson Oaks, TX 76087-8596
Phone (213) 737-5207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170216001040 TX Practitioner - Optometry 1355348194 Practice locations: Hudson Oaks, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2801 E I
Suite 20
Hudson Oaks, TX 76087

2801 E I
Suite 20
Hudson Oaks, TX 76087-8596
Phone (213) 737-5207

2801 E Interstate 20
Hudson Oaks, TX 76087-8596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA04004NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1174567234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E INTERSTATE 20",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760878596",
            "telephone_number": "213-737-5207",
            "fax_number": "682-738-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E INTERSTATE 20",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760878596",
            "telephone_number": "213-737-5207",
            "fax_number": "682-738-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA04004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Oaks, TX

Sources for this page

Verify at the official NPI Registry.