NPIMap

Organization Active NPI

Herlevich, OD & Krol, OD P.a.

  • Eyewear Supplier
  • Gainesville, FL
National Provider Identifier
1891760195
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
HERLEVICH, OD & KROL, OD P.A.
Practice address
4650 NW 39TH Place
Suite D
Gainesville, FL 32606
Phone
(352) 373-0000
Fax
(352) 373-0595
NPI assigned
Feb 21, 2006
Last updated
Sep 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Dr. Nancy E. Herlevich, ODNPI 1780643866
Title
Vice Pres
Phone
(352) 373-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

4650 NW 39TH Place
Suite D
Gainesville, FL 32606

Mailing address

4650 NW 39TH Place
Suite D
Gainesville, FL 32606-8157
Phone (352) 373-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090912000018 FL Part B Supplier - Clinic/Group Practice 2062568256 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

4650 NW 39th Pl
Ste D
Gainesville, FL 32606
Phone (352) 373-0000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1891760195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 NW 39TH PLACE",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068157",
            "telephone_number": "352-373-0000",
            "fax_number": "352-376-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 NW 39TH PLACE",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-373-0000",
            "fax_number": "352-373-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERLEVICH, OD & KROL, OD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "HERLEVICH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRES",
        "authorized_official_telephone_number": "352-373-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.