Individual provider Active NPI

Deborah S. Herron, O.D.

  • Optometrist
  • Denison, TX
National Provider Identifier
1477500973
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
03347 Issued in TX
Practice address
2515 W Morton St
Denison, TX 75020-1403
Phone
(903) 465-1810
Fax
(903) 465-1811
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 03347 TX Primary

Addresses

Primary practice location

2515 W Morton St
Denison, TX 75020-1403

Mailing address

2515 W Morton St
Denison, TX 75020-1403
Phone (903) 465-1810

Other identifiers 1

IdentifierTypeStateIssuer
093206301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110912000136 TX Practitioner - Optometry 5698882462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denison Eyecare Center PLLCGroup PAC ID 6103179973, 3 clinicians

Practice addresses (Care Compare)

2515 W Morton St
Denison, TX 75020-1403
Phone (903) 465-1810

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03347TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Denison Eyecare Center, PLLC Optometrist CurrentSince May 1, 2019 Accepting new patients

Locations

2515 W Morton St
Denison, TX 75020
Phone (580) 920-5389

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1477500973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 W MORTON ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201403",
            "telephone_number": "903-465-1810",
            "fax_number": "903-465-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 W MORTON ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201403",
            "telephone_number": "903-465-1810",
            "fax_number": "903-465-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "DEBORAH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093206301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.