Organization Active NPI

Herman H Gerdes III

  • Eyewear Supplier
  • Waco, TX
National Provider Identifier
1588849988
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2467TG Issued in TX
Legal business name
HERMAN H GERDES III
Practice address
4949 Franklin Ave
Waco, TX 76710-6900
Phone
(254) 776-3423
Fax
(254) 776-3465
NPI assigned
Jan 3, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Mrs. Del C Gerdes
Title
Secretary
Phone
(254) 776-3423

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2467TG TX
Eyewear Supplier 332H00000X 2467TG TX Primary

Addresses

Primary practice location

4949 Franklin Ave
Waco, TX 76710-6900

Mailing address

4949 Franklin Ave
Waco, TX 76710-6917
Phone (254) 776-3423

Other identifiers 2

IdentifierTypeStateIssuer
0054FAOtherTXBLUE CROSS
80623QOtherBLUE CROSS

National Provider Directory

National Provider Directory

Locations

4949 Franklin Ave
Waco, TX 76710
Phone (254) 776-2282

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1588849988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 FRANKLIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106917",
            "telephone_number": "254-776-3423",
            "fax_number": "254-776-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 FRANKLIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106900",
            "telephone_number": "254-776-3423",
            "fax_number": "254-776-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMAN H GERDES III",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "DEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "254-776-3423",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "2467TG",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "2467TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0054FA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "80623Q",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.