Organization Active NPI

Herring Eye Associates OD, PLLC

  • Optometrist
  • Rocky Mount, NC
National Provider Identifier
1992106314
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2335 Issued in NC
Legal business name
HERRING EYE ASSOCIATES OD, PLLC
Practice address
1525 Benvenue Rd
Rocky Mount, NC 27804-6383
Phone
(252) 557-2257
Fax
(252) 972-0003
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Agen J Herring, ODNPI 1154758670
Title
Owner/Participating Provider
Phone
(252) 557-2257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2335 NC Primary

Addresses

Primary practice location

1525 Benvenue Rd
Rocky Mount, NC 27804-6383

Mailing address

1525 Benvenue Rd
Rocky Mount, NC 27804-6383
Phone (252) 557-2257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150108001517 NC Part B Supplier - Clinic/Group Practice 8820311384 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Mount, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1992106314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BENVENUE RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046383",
            "telephone_number": "252-557-2257",
            "fax_number": "252-972-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BENVENUE RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046383",
            "telephone_number": "252-557-2257",
            "fax_number": "252-972-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRING EYE ASSOCIATES OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "AGEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PARTICIPATING PROVIDER",
        "authorized_official_telephone_number": "252-557-2257",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.