Individual provider Active NPI

Michael Blue Herriott, O.D.

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1942588926
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5041 Issued in FL
Practice address
3324 W University Ave Ste a
Gainesville, FL 32607-2540
Phone
(352) 240-0801
NPI assigned
Jul 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1613-646T LA
Optometrist 152W00000X OPC5041 FL Primary

Addresses

Primary practice location

3324 W University Ave Ste a
Gainesville, FL 32607-2540

Mailing address

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 885-3937

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20161118000380 FL Practitioner - Optometry 9032498803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

3324 W University Ave
Suite a
Gainesville, FL 32607-2540
Phone (352) 240-0801

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

586 N Hwy 27/441
Lady Lake, FL 32159-3776
Phone (352) 350-5298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5041FLMDOptometrist
1613-646TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 1, 2016 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Jun 23, 2025 Accepting new patients

Locations

3324 W University Ave
Ste A
Gainesville, FL 32607
Phone (352) 240-0801

3922 S Suncoast Blvd
Homosassa Springs, FL 34448
Phone (352) 621-7528

2393 SW College Rd
Ocala, FL 34471
Phone (352) 291-5098

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

6244 Commercial Way
Weeki Wachee, FL 34613
Phone (352) 597-3205

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1942588926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 JOHNS RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344499",
            "telephone_number": "813-885-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 W UNIVERSITY AVE STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072540",
            "telephone_number": "352-240-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRIOTT",
        "first_name": "MICHAEL",
        "middle_name": "BLUE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1613-646T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.