Individual provider Active NPI

Herbert Robert Monroe, O.D.

  • Optometrist
  • Lafayette, CA
National Provider Identifier
1871930339
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4651T Issued in CA
Practice address
284 Lafayette Cir
Lafayette, CA 94549-4379
Phone
(925) 284-1500
Fax
(925) 284-3666
NPI assigned
May 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4651T CA Primary

Addresses

Primary practice location

284 Lafayette Cir
Lafayette, CA 94549-4379

Mailing address

284 Lafayette Cir
Lafayette, CA 94549-4379
Phone (925) 284-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4651TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1871930339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 LAFAYETTE CIR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494379",
            "telephone_number": "925-284-1500",
            "fax_number": "925-284-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 LAFAYETTE CIR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494379",
            "telephone_number": "925-284-1500",
            "fax_number": "925-284-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "HERBERT",
        "middle_name": "ROBERT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4651T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.