Active NPI
Wayne Hjerpe, O.D.
- Optometrist
- West Harwich, MA
National Provider Identifier
1346284577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP2916-TP
- Practice address
- 120 Route 28
Suite 200, Box 752
West Harwich, MA 02671-0752 - Phone
- (508) 432-0020
- Fax
- (508) 432-7600
- NPI assigned
- Jun 16, 2006
- 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 | OP2916-TP | MA | Primary |
Addresses
Primary practice location
120 Route 28
Suite 200, Box 752
West Harwich, MA 02671-0752
Mailing address
PO Box 752
West Harwich, MA 02671-0752
Phone (508) 432-0020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0351822 | Medicaid | MA | |
| 410008252 | Other | MA | RAILROAD MEDICARE |
| W15686 | Other | MA | BLUE CROSS BLUE SHIELD PR |
| 0506480001 | Other | MA | DMERC HEALTH NOW DURABLE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100323000526 | MA | Practitioner - Optometry | 8527193002 | Practice locations: West Harwich, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1261094400000",
"number": "1346284577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 752",
"city": "WEST HARWICH",
"state": "MA",
"postal_code": "026710752",
"telephone_number": "508-432-0020",
"fax_number": "508-432-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ROUTE 28",
"address_2": "SUITE 200, BOX 752",
"city": "WEST HARWICH",
"state": "MA",
"postal_code": "026710752",
"telephone_number": "508-432-0020",
"fax_number": "508-432-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HJERPE",
"first_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "OP2916-TP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0351822",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410008252",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PR",
"identifier": "W15686",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC HEALTH NOW DURABLE",
"identifier": "0506480001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Harwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.