Organization Active NPI

Michael Herman O.D. Inc

  • Optometrist
  • Gardena, CA
National Provider Identifier
1679678965
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA8247 Issued in CA
Legal business name
MICHAEL HERMAN O.D. INC
Practice address
18203 S Western Ave Ste 102
Gardena, CA 90248
Phone
(310) 447-4752
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Authorized official

Name
Dr. Michael L Herman, OPTOMETRIST
Title
President
Phone
(310) 447-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA8247 CA Primary

Addresses

Primary practice location

18203 S Western Ave Ste 102
Gardena, CA 90248

Mailing address

18203 S Western Ave # 102
Gardena, CA 90248-3818
Phone (310) 447-4752

Other practice location 1

2524 S Figueroa St
Los Angeles, CA 90007-2549
Phone (213) 749-3888

Other identifiers 1

IdentifierTypeStateIssuer
6486835MedicaidCA

Other names 1

  • See U Again Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

18203 S Western Ave
Ste 102
Gardena, CA 90248
Phone (310) 447-4752

18203 S Western Ave
#102
Gardena, CA 90248

2524 S Figueroa St
Los Angeles, CA 90007
Phone (213) 749-3888

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1679678965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18203 S WESTERN AVE # 102",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483818",
            "telephone_number": "310-447-4752",
            "fax_number": "424-292-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18203 S WESTERN AVE STE 102",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90248",
            "telephone_number": "310-447-4752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2524 S Figueroa St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900072549",
            "country_code": "US",
            "telephone_number": "213-749-3888",
            "fax_number": "213-747-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL HERMAN O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-447-4752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA8247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6486835",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "See U Again Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.