Nancy E Herlevich, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3009 Issued in FL

Practice address

4650 NW 39TH Place
Suite D
Gainesville, FL 32606

Phone

(352) 373-0000

Fax

(352) 373-0595

NPI assigned

Mar 20, 2006

Last updated

Sep 4, 2009By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Herlevich, OD & Krol, OD P.a.

  • Eyewear Supplier
  • Gainesville, FL
  • NPI 1891760195
  Authorized official Same address or phone

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1780643866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 NW 39TH PLACE",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068157",
            "telephone_number": "352-373-0000",
            "fax_number": "352-376-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 NW 39TH PLACE",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-373-0000",
            "fax_number": "352-373-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERLEVICH",
        "first_name": "NANCY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "259466",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "068805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derricka Herbert, CNA
• Latanya Laurita Herbert
• Carmen Herbruger
• Kristie Heredia
• Anna Elizabeth Herkov, M.A., CCC/SLP
• Herlevich, OD & Krol, OD P.a.
• Esther Lynn Herman, LMT
• Francesca Grace Herman, PA-C
• Mark Herman
• Mandy Hermesman

• Optometrist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.