Nancy L Herrold
Individual provider Active NPI Optometrist · Mount Wolf, PA
NPI 1760474647 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1760474647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG002151 (PA)
- Practice address
- 5100 Board Road
Mount Wolf, PA 17347-9559 - Phone
- (717) 266-6602
- Fax
- (717) 266-0843
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sans Pareil Eyecare
Practice addresses (Care Compare)
234 Rosedale Dr
Manchester, PA 17345-1023
Phone (717) 266-5661
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101022000161 | PA | Practitioner - Optometry | 3072728872 |
Reassigns benefits to 1 organization Practice locations: Mount Wolf, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sans Pareil Eyecare | Optometrist | Current |
Accepting new patients |
| James P. Tuttle, OD | Optometrist | Past |
Accepting new patients |
Locations
234 Rosedale Dr
Manchester, PA 17345
Phone (717) 266-5661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG002151 | PA | Yes |
| Eyewear Supplier | 332H00000X | OEG002151 | PA |
Addresses
Primary practice location
5100 Board Road
Mount Wolf, PA 17347-9559
Mailing address
5100 Board Road
Mount Wolf, PA 17347-9559
Phone (717) 266-6602
Other providers in Mount Wolf, PA
- For Sleep Sake
- Leon Wagner Gibble
- Keara Goodhart
- Nicole Joy Hardy
- George Warren Herrold
- Juliana M Hickey
- Morgan Elizabeth Jones
- Hilary Anne Khan-Arthur
- Karlie Kimball
- Amanda Laurel Kinback
All providers in Mount Wolf, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.