Individual provider Active NPI

Tammy Kay Hersch, O.D.

  • Optometrist
  • Spearfish, SD
National Provider Identifier
1609855980
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
508 Issued in SD
Practice address
1420 North Ave
Suite 1
Spearfish, SD 57783-1543
Phone
(605) 642-0390
Fax
(605) 642-0388
NPI assigned
Jan 13, 2006
Last updated
Oct 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 508 SD Primary

Addresses

Primary practice location

1420 North Ave
Suite 1
Spearfish, SD 57783-1543

Mailing address

1420 North Ave
Suite 1
Spearfish, SD 57783-1541
Phone (605) 642-0390

Other identifiers 1

IdentifierTypeStateIssuer
9202850MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20040602001408 SD Practitioner - Optometry 9739161811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Family Optical P CGroup PAC ID 9537289152, 2 clinicians

Practice addresses (Care Compare)

1420 N Ave
Suite 1
Spearfish, SD 57783-1543
Phone (605) 642-0387

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: dr.hersch@familyoptics.eyefinity-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1609855980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NORTH AVE",
            "address_2": "SUITE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831541",
            "telephone_number": "605-642-0390",
            "fax_number": "605-642-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 NORTH AVE",
            "address_2": "SUITE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831543",
            "telephone_number": "605-642-0390",
            "fax_number": "605-642-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCH",
        "first_name": "TAMMY",
        "middle_name": "KAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202850",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.