Mark A Herron, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4746 / T1550 Issued in OH

Practice address

12094 Montgomery Rd
Cincinnati, OH 45249-1729

Phone

(513) 774-0999

Fax

(513) 774-0547

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of Ohio, LLC

  • Optometrist
  • Dayton, OH
  • NPI 1902365448
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Ohio, LLC

  • Optometrist
  • Sylvania, OH
  • NPI 1114480134
  NPD
• Myeyedr Optometry of Ohio, LLC

  • Optometrist
  • Warren, OH
  • NPI 1720970981
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Chesapeake, VA
  • NPI 1669820304
  NPD (past)
• Wing Eyecare, Inc.

  • Optometrist
  • Florence, KY
  • NPI 1912194986
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1699884882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12094 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491729",
            "telephone_number": "513-774-0999",
            "fax_number": "513-774-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4746 / T1550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.H.C.",
            "identifier": "311645431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000122749",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "311645431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "311645431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Herrmann
• Lisa Herrmann, M.D.
• Thomas Herrmann, PT, ATC, EDD
• Zachary Herro, DO
• Isabella Herron, CNM
• Amy Reiniger Hersh, M.A. CCC-SLP
• Joseph Hersh, RN
• Alyssa Hershberger
• Laura E. Hershberger, LSW
• Andrew D Hershey, M.D.

• Optometrist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.