Evan Herbold, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

011414 Issued in NY

Practice address

3712 Southwestern Blvd
Orchard Park, NY 14127-1720

Phone

(716) 648-5329

NPI assigned

May 11, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1437087582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 W BLOOD RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521123",
            "telephone_number": "716-946-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271720",
            "telephone_number": "716-648-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBOLD",
        "first_name": "EVAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Held, PT
• Helping Hands Chiropractic PC
• Owen David Henry, OD
• Victoria Christina Henry, PA
• Erika Lindsay Hensley, LMHC
• Brian Alan Herbst, D.O.
• Aravind Herle, MD
• Anna L Herman
• Jonathan Hernandez, PT, DPT, ATC, CSCS
• Kelly Hernandez, M.S. EX.ED.

• Optometrist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.