Individual provider Active NPI

James S Herzman Jr., OD

  • Optometrist
  • Carson City, NV
National Provider Identifier
1982764304
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
343 T Issued in NV
Practice address
1987 N Carson St Ste 5
Carson City, NV 89701-1225
Phone
(775) 883-2015
Fax
(775) 883-5805
NPI assigned
Dec 8, 2006
Last updated
Apr 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 343 T NV Primary

Addresses

Primary practice location

1987 N Carson St Ste 5
Carson City, NV 89701-1225

Mailing address

5961 S Los Altos Pkwy Ste 101
Sparks, NV 89436-2501
Phone (775) 359-2020

Other identifiers 3

IdentifierTypeStateIssuer
1982764304MedicaidNV
1326351925MedicaidNV
1063727709MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090611000116 NV Practitioner - Optometry 8022168103 Reassigns benefits to 3 organizations
Practice locations: Carson City, NV
I20210126002509 CA Practitioner - Optometry 8022168103 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
343 TNVMDOptometrist
10935CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Humphreys OD Faao, Professional Corporation Optometrist CurrentSince Oct 23, 2020 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Dec 1, 2020 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Dec 1, 2020 Accepting new patients
See Center Optometrist CurrentSince Sep 5, 2020 Accepting new patients
Advanced Sierra Eyecare, Inc. Optometrist CurrentSince Sep 5, 2020 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Dec 1, 2020 Accepting new patients

Locations

600 Ash St
Susanville, CA 96130
Phone (530) 257-3636

3033 N Carson St
Carson City, NV 89706
Phone (775) 884-2020

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108
Phone (702) 515-0200

4045 Spencer St
Ste A59
Las Vegas, NV 89119
Phone (702) 437-5521

7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254

5465 Meadowood Mall Cir
Reno, NV 89502
Phone (775) 826-4100

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1982764304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 S LOS ALTOS PKWY STE 101",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362501",
            "telephone_number": "775-359-2020",
            "fax_number": "775-359-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 N CARSON ST STE 5",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011225",
            "telephone_number": "775-883-2015",
            "fax_number": "775-883-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZMAN",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "343 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982764304",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326351925",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063727709",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.