Active NPI
Michael Blue Herriott, O.D.
- Optometrist
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5041 | FL | MD | Optometrist |
| 1613-646T | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| America'S Best Contacts & Eyeglasses | Past | 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.
-
- Optometrist
- Orlando, FL
- NPI 1164308771
-
- Optometrist
- Tampa, FL
- NPI 1114012689
-
- Optician
- Mandeville, LA
- NPI 1225209737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.