Michael Lance Herman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8247T Issued in CA

Practice address

2524 S Figueroa St
Los Angeles, CA 90007-2549

Phone

(213) 749-3888

Fax

(213) 747-8670

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hector Duenas Gonzalez, O.D., a Professional Corporation

  • Optometrist
  • Los Angeles, CA
  • NPI 1780188631
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1750369641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18203 S WESTERN AVE",
            "address_2": "STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90248",
            "telephone_number": "310-447-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 S FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072549",
            "telephone_number": "213-749-3888",
            "fax_number": "213-747-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "MICHAEL",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8247T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CALIFORNIA",
            "identifier": "954814055",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CALIFORNIA",
            "identifier": "SD08247T0",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0082470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Ryan Herman, MD
• Jerica Herman
• Jody Herman
• Jonathan David Herman, M.D. PH.D.
• Lloyd Herman, DDS, MS
• Nadia Jessica Herman
• Renee Y Herman, PA-C
• Seth Herman, M.D.
• Sheldon Paul Herman, MD
• Alan Patrick Hermanson, FAMILY NURSE PRACTIT

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.