Jeffrey Gilbert Hirschl, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3863 Issued in OH

Practice address

8277 Market St
Suite B
Boardman, OH 44512-6246

Phone

(330) 726-5544

Fax

(330) 758-3874

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1366462251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8277 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126255",
            "telephone_number": "330-726-5544",
            "fax_number": "330-758-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8277 MARKET ST",
            "address_2": "SUITE B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126246",
            "telephone_number": "330-726-5544",
            "fax_number": "330-758-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHL",
        "first_name": "JEFFREY",
        "middle_name": "GILBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0642791",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341605571027",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2200218",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410009219",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000226428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Carl Herron, LSW/CDCA
• Celine Renay Hildack
• Ashanta Hill
• Colton Dean Hiner, DDS
• Madeline Hiner, SLP
• Jessica Stacy Hoefler, AU.D.
• Adam Hoffman, D.O.
• Edward F Hofsess
• Jared Edward Hofsess, HAS
• Kelly Ann Hofsess, M.S.R.D.L.D.

• Optometrist in Boardman, OH
• Providers in Boardman, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.