Juan Martin Herrera, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

61429597 Issued in WA

Practice address

845 E 3Rd Ave Ste 11
Moses Lake, WA 98837-5902

Phone

(509) 766-1880

NPI assigned

Oct 5, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Eye and Vision Clinic , PLLCGroup PAC ID 7719313790, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Valley Eye and Vision Clinic PLLC

  • Optometrist
  • Moses Lake, WA
  • NPI 1881236909
  Medicare reassignment Care Compare group NPD
• Valley Eye and Vision Clinic , PLLC

  • Optometrist
  • East Wenatchee, WA
  • NPI 1215714852
  NPD

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1891410403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 E 3RD AVE STE 11",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375902",
            "telephone_number": "509-766-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 E 3RD AVE STE 11",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375902",
            "telephone_number": "509-766-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "JUAN",
        "middle_name": "MARTIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61429597",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "herr3480@pacificu.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "70 Estella Dr",
            "city": "Mesa",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993439521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drherrera@valleyeyeandvision.com",
            "affiliation": "N",
            "endpointDescription": "Primary Practice Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "845 E 3rd Ave Ste 11",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988375902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariah Nicole Hernandez-Gurley
• Fabiola Hernandez-Mendoza, RDH
• Annette Giselle Hernandez
• Tatiana Hernandez
• Beatriz Herrera, BA
• Mitchell Hesse, PHARMD
• Richard Tyler Hesselgesser, DMD
• Izzabella Hiatt-Jackson
• Kyle Thomas Hickman, ARNP
• Patrick J. Hickman, D.C.

• Optometrist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.