Active NPI
Joel N. Hersch, O.D.
- Optometrist
- Jupiter, FL
National Provider Identifier
1831224708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 1928
- Practice address
- 935 Military TRL Ste 101
Jupiter, FL 33458-7009 - Phone
- (561) 575-4616
- Fax
- (561) 575-4936
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 1928 | FL | Primary |
Addresses
Primary practice location
935 Military TRL Ste 101
Jupiter, FL 33458-7009
Mailing address
935 Military TRL Ste 101
Jupiter, FL 33458-7009
Phone (561) 575-4616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65-0081302 | Other | FL | FEDERAL TAX I.D. # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130813000758 | FL | Practitioner - Optometry | 4880836394 | Practice locations: Boynton Beach, FL; Jupiter, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1928 | FL | MD | Oral and Maxillofacial Radiology Dentist |
| OPC 1928 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1831224708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 MILITARY TRL STE 101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587009",
"telephone_number": "561-575-4616",
"fax_number": "561-575-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 MILITARY TRL STE 101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587009",
"telephone_number": "561-575-4616",
"fax_number": "561-575-4936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSCH",
"first_name": "JOEL",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 1928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX I.D. #",
"identifier": "65-0081302",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.