Individual provider Active NPI

Katie M Hertz, OD

  • Optometrist
  • Hanover, PA
National Provider Identifier
1750645370
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002602 Issued in PA
Practice address
1201 West Elm Avenue
Suite 4
Hanover, PA 17331-4600
Phone
(717) 630-2922
Fax
(717) 630-2322
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 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 OEG002602 PA Primary

Addresses

Primary practice location

1201 West Elm Avenue
Suite 4
Hanover, PA 17331-4600

Mailing address

1201 West Elm Avenue
Suite 4
Hanover, PA 17331-4600
Phone (717) 630-2922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130924000650 PA Practitioner - Optometry 0446494959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hemler Family Eye Care,LLCGroup PAC ID 4082821343, 4 clinicians

Practice addresses (Care Compare)

1201 W Elm Ave
Suite 4
Hanover, PA 17331-4600
Phone (717) 630-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002602PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hemler Family Eye Care,LLC Optometrist CurrentSince Jun 18, 2013 Accepting new patients

Locations

1201 W Elm Ave
Ste 4
Hanover, PA 17331
Phone (717) 630-2922

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1750645370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WEST ELM AVENUE",
            "address_2": "SUITE 4",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173314600",
            "telephone_number": "717-630-2922",
            "fax_number": "717-630-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WEST ELM AVENUE",
            "address_2": "SUITE 4",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173314600",
            "telephone_number": "717-630-2922",
            "fax_number": "717-630-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "KATIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.