Beth A Hebert, LICENSED OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO3843 Issued in FL

Practice address

530 21St St
Vero Beach, FL 32960-5450

Phone

(772) 562-2020

Fax

(772) 562-5874

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1871107805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 SW HUNNICUT AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535336",
            "telephone_number": "772-206-1086",
            "fax_number": "772-562-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 21ST ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605450",
            "telephone_number": "772-562-2020",
            "fax_number": "772-562-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO3843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "storevero@powerog.com",
            "affiliation": "N",
            "endpointDescription": "store email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "VERO BEACH",
            "address_1": "530 21st St",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329605450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Optician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.