Individual provider Active NPI

Barry Herscovitch, LDO

  • Optician
  • Zephyrhills, FL
National Provider Identifier
1962654947
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO5836 Issued in FL
Practice address
4416 Sentry Palm Loop
Zephyrhills, FL 33542-5625
Phone
(352) 999-2515
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO5836 FL Primary

Addresses

Primary practice location

4416 Sentry Palm Loop
Zephyrhills, FL 33542-5625

Mailing address

4416 Sentry Palm Loop
Zephyrhills, FL 33542-5625
Phone (352) 999-2515

Other names 1

  • Barry Herscovitch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO5836FLMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1962654947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 SENTRY PALM LOOP",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335425625",
            "telephone_number": "352-999-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 SENTRY PALM LOOP",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335425625",
            "telephone_number": "352-999-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCOVITCH",
        "first_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARRY",
            "last_name": "HERSCOVITCH",
            "credential": "LDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.