Herman H Ginger, OD,PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2070PC014 Issued in AR

Legal business name

HERMAN H GINGER, OD,PA

Practice address

2701 S Hazel St
Pine Bluff, AR 71603-5000

Phone

(870) 535-7690

Fax

(870) 535-3599

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Herman H Ginger, OD

Title

Owner

Phone

(870) 535-7690

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1346426152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035000",
            "telephone_number": "870-535-7690",
            "fax_number": "870-535-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035000",
            "telephone_number": "870-535-7690",
            "fax_number": "870-535-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMAN H GINGER, OD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "GINGER",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-535-7690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2070PC014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184988722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "DQ4360",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.