Individual provider Active NPI

Bridget Hermann, O.D.

  • Optometrist
  • Pickerington, OH
National Provider Identifier
1528068095
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5476 Issued in OH
Practice address
650 Hill Rd N
Pickerington, OH 43147-9201
Phone
(614) 833-2400
NPI assigned
Jul 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5476 OH Primary

Addresses

Primary practice location

650 Hill Rd N
Pickerington, OH 43147-9201

Mailing address

650 Hill Rd N
Pickerington, OH 43147-9201
Phone (614) 833-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050929000062 OH Practitioner - Optometry 2769416031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Hermann and Henry Eyecare IncGroup PAC ID 2961436225, 3 clinicians

Practice addresses (Care Compare)

650 Hill Rd N
Pickerington, OH 43147-9201
Phone (614) 833-2400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5476OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hermann & Henry Eyecare, Inc Optometrist CurrentSince Aug 1, 2005 Accepting new patients
Eye Surgery Consultants Inc. PastSince Aug 1, 2005 Accepting new patients

Locations

650 Hill Rd N
Pickerington, OH 43147
Phone (614) 833-2400

Organizations & group practices 4

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1528068095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479201",
            "telephone_number": "614-833-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479201",
            "telephone_number": "614-833-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "BRIDGET",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.