Active NPI
Daniel L Herkert, O.D.
- Optometrist
- Indianapolis, IN
National Provider Identifier
1922094879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002512
- Practice address
- 6904 S East St Ste C
Indianapolis, IN 46227-2694 - Phone
- (317) 784-5665
- Fax
- (317) 784-7011
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002512 | IN | Primary |
Addresses
Primary practice location
6904 S East St Ste C
Indianapolis, IN 46227-2694
Mailing address
6904 S East St Ste C
Indianapolis, IN 46227-2694
Phone (317) 784-5665
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4626909 | Other | IN | AETNA |
| IN2512 | Other | IN | EYEMED |
| 93101 | Other | IN | ANTHEM BCBS |
| 1265680001 | Other | DMERC ADMINISTAR FEDERAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071009000411 | IN | Practitioner - Optometry | 8820183684 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6904 S E St
Suite C
Indianapolis, IN 46227-2694
6904 S E St C
Indianapolis, IN 46227-2694
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 81 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002512 | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herkert Family Eye Care, P.C. | Optometrist | Current | Accepting new patients |
Locations
6904 S East St
Ste C
Indianapolis, IN 46227
Phone (317) 784-5665
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1922094879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6904 S EAST ST STE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272694",
"telephone_number": "317-784-5665",
"fax_number": "317-784-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6904 S EAST ST STE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272694",
"telephone_number": "317-784-5665",
"fax_number": "317-784-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERKERT",
"first_name": "DANIEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4626909",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "IN2512",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "93101",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC ADMINISTAR FEDERAL",
"identifier": "1265680001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.