Individual provider Active NPI

Eric J Hebert, O.D.

  • Optometrist
  • Rockland, ME
National Provider Identifier
1396810164
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT753 Issued in ME
Practice address
32 School Street
Suite 103
Rockland, ME 04841-2841
Phone
(207) 594-4171
Fax
(207) 594-1267
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT753 ME Primary

Addresses

Primary practice location

32 School Street
Suite 103
Rockland, ME 04841-2841

Mailing address

32 School Street
Suite 103
Rockland, ME 04841-2841
Phone (207) 594-4171

Other identifiers 1

IdentifierTypeStateIssuer
119600000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050523000624 ME Practitioner - Optometry 2668414475 Practice locations: Rockland, ME

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 School St
Suite 103
Rockland, ME 04841-2800
Phone (207) 594-4171

30 School St
Suite 103
Rockland, ME 04841-2841

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1396810164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SCHOOL STREET",
            "address_2": "SUITE 103",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412841",
            "telephone_number": "207-594-4171",
            "fax_number": "207-594-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SCHOOL STREET",
            "address_2": "SUITE 103",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412841",
            "telephone_number": "207-594-4171",
            "fax_number": "207-594-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119600000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

Verify at the official NPI Registry.