Michael D. Herrera, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MICHAEL D. HERRERA, O.D., P.C.

Practice address

3811 Cerrillos Rd Ste 103
Santa Fe, NM 87507-4112

Phone

(505) 989-9600

Fax

(505) 438-5014

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Jeneane M Herrera

Title

Business Manager

Phone

(505) 428-0809

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Michael D. Herrera Doing business as

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1891298030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RUSTY SPUR PL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081350",
            "telephone_number": "505-429-0809",
            "fax_number": "505-438-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 CERRILLOS RD STE 103",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074112",
            "telephone_number": "505-989-9600",
            "fax_number": "505-438-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. HERRERA, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "JENEANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "505-428-0809"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P6026",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Michael D. Herrera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Lois Meyers, RPH
• Daniel M Meyers, DDS, MS
• Andrea Meza
• Micah Birdshire LLC
• Michael D Palestine MD PC
• Michael H Mason DDS PA
• Michael L. Rothman, M.D., P.C.
• Michael R Jones Therapy
• Michael'S Acupunture and Fitness
• Beth Michaliszyn

• Optometrist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.