Active NPI
Fred Willy Herrin III, OD
- Optometrist
- Oklahoma City, OK
National Provider Identifier
1548349525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 878
- Practice address
- 7222 NW Expressway
Oklahoma City, OK 73132 - Phone
- (405) 721-0100
- Fax
- (405) 720-7915
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 878 | OK | Primary |
Addresses
Primary practice location
7222 NW Expressway
Oklahoma City, OK 73132
Mailing address
10308 Mantle Dr
Oklayhoma City, OK 73162
Phone (405) 722-3993
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548349525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10308 MANTLE DR",
"city": "OKLAYHOMA CITY",
"state": "OK",
"postal_code": "73162",
"telephone_number": "405-722-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7222 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73132",
"telephone_number": "405-721-0100",
"fax_number": "405-720-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRIN",
"first_name": "FRED",
"middle_name": "WILLY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.