Individual provider Active NPI

Thomas Brent Hern II

  • Optician
  • Ashland, KY
National Provider Identifier
1427789510
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
260983 Issued in KY
Practice address
12504 US Route 60
Ashland, KY 41102-9687
Phone
(606) 929-9440
Fax
(606) 929-9622
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 260983 KY Primary

Addresses

Primary practice location

12504 US Route 60
Ashland, KY 41102-9687

Mailing address

12504 US Route 60
Ashland, KY 41102-9687
Phone (606) 929-9440

Other names 1

  • Tommy Hern Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
260983KYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1427789510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12504 US ROUTE 60",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029687",
            "telephone_number": "606-929-9440",
            "fax_number": "606-929-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12504 US ROUTE 60",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029687",
            "telephone_number": "606-929-9440",
            "fax_number": "606-929-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERN",
        "first_name": "THOMAS",
        "middle_name": "BRENT",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "260983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOMMY",
            "last_name": "HERN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.