Organization Active NPI

Herkert Family Eye Care, P.C.

  • Eyewear Supplier
  • Indianapolis, IN
National Provider Identifier
1497917199
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
18002512 Issued in IN
Legal business name
HERKERT FAMILY EYE CARE, P.C.
Practice address
6904 S East St
Suite C
Indianapolis, IN 46227-2693
Phone
(317) 784-5665
Fax
(317) 784-7011
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Shelley L Herkert
Title
Office Manager
Phone
(317) 784-5665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 18002512 IN Primary

Addresses

Primary practice location

6904 S East St
Suite C
Indianapolis, IN 46227-2693

Mailing address

6904 S East St
Suite C
Indianapolis, IN 46227-2693
Phone (317) 784-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930078858 IN DME Supplier - Physician - OptometristDME Supplier - Optician 9133240583 Practice locations: Indianapolis, IN
O20140407000494 IN Part B Supplier - Clinic/Group Practice 9133240583 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Herkert Family Eye Care, P.C.6904 S East St, Indianapolis, IN 46227-2694(317) 784-5665 Ocular Prostheses Accepts assignmentParticipating since Jun 7, 1999

National Provider Directory

National Provider Directory

Locations

6904 S East St
Ste C
Indianapolis, IN 46227
Phone (317) 784-5665

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1497917199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 S EAST ST",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272693",
            "telephone_number": "317-784-5665",
            "fax_number": "317-784-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 S EAST ST",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272693",
            "telephone_number": "317-784-5665",
            "fax_number": "317-784-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERKERT FAMILY EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HERKERT",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-784-5665"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18002512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.