Active NPI
John P Herman, OD
- Optometrist
- Pittsfield, MA
National Provider Identifier
1336116409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2415
- Practice address
- 217 South St
Pittsfield, MA 01201-6837 - Phone
- (413) 499-3797
- Fax
- (413) 499-3834
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2415 | MA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 2415 | MA |
Addresses
Primary practice location
217 South St
Pittsfield, MA 01201-6837
Mailing address
217 South St
Pittsfield, MA 01201-6837
Phone (413) 499-3797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0321133 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2415 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1336116409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 SOUTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016837",
"telephone_number": "413-499-3797",
"fax_number": "413-499-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 SOUTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016837",
"telephone_number": "413-499-3797",
"fax_number": "413-499-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2415",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MA",
"license": "2415",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0321133",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.