Herman L de Anna OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2749 Issued in FL

Legal business name

HERMAN L DE ANNA OD PA

Practice address

7100 W 20 Ave
Suite 702
Hialeah, FL 33016-1824

Phone

(305) 825-3005

Fax

(305) 819-5887

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Herman Leonel De Anna, ODNPI 1245204502

Title

President

Phone

(305) 992-2290

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Herman L Deanna, OD

  • Optometrist
  • Hialeah, FL
  • NPI 1245204502
  Medicare reassignment NPD Authorized official
• Nicolas Gilberg, OD

  • Optometrist
  • North Miami, FL
  • NPI 1700191244
  Medicare reassignment NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1396954533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20 AVE",
            "address_2": "SUITE 702",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161824",
            "telephone_number": "305-825-3005",
            "fax_number": "305-819-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20 AVE",
            "address_2": "SUITE 702",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161824",
            "telephone_number": "305-825-3005",
            "fax_number": "305-819-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMAN L DE ANNA OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "DE ANNA",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "LEONEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-992-2290",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620097400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00100900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grivel Justina Hera Gomez, FNP
• Hector Heras
• Melissa Herba, OTR/L
• Gisleivy Heredia
• Heriberto Fernandez MD PA
• Hermes Rehabilitation Center Inc
• Sebastian Hermida Velasquez, DO
• Pedro R Hernadez
• Sameilia Marie Hernaiz Gomez, MD
• Alejandro Hernaiz, P

• Optometrist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.