MRS. LISA HEROLD (NPI# 1265666556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265666556 |
Entity Type | Individual |
Full Name | MRS. LISA HEROLD |
Credential | COT |
Practice Address |
105 Sugar Camp Cir Dayton OH 45409-1962 |
Practice Telephone | 9372223937 |
Practice Fax Number | 9372235254 |
Mailing Telephone | 9372223937 |
Mailing Fax Number | 9372235254 |
Enumeration Date | 2009-05-14 |
Last Update Date | 2009-05-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
21675 | OH | Eye and Vision Services Providers |
Street Address |
105 SUGAR CAMP CIR |
City | DAYTON |
State | OH |
Zip Code | 45409-1962 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073007597 | Kimberly Parent | Physical Therapist | 105 Sugar Camp Cir, Dayton, OH 45409 | 2018-06-18 |
1558791715 | Shane Page | Specialist | 105 Sugar Camp Cir, Suite 221, Dayton, OH 45409-1962 | 2013-11-25 |
1710223763 | Premier Health Specialists Inc | Ophthalmology | 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409-1962 | 2012-12-19 |
1033455373 | Premier Health Specialists Inc | Ophthalmology | 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409-1962 | 2012-12-13 |
1205188117 | Jessica Elizabeth Bowling | Technician/Technologist | 105 Sugar Camp Cir, Suite 200, Dayton, OH 45409-1962 | 2012-10-03 |
1215299375 | Jessica Shockley | Technician/Technologist | 105 Sugar Camp Cir, Suite 200, Dayton, OH 45409-1962 | 2012-06-13 |
1144454448 | Tracy L Winans | Technician/Technologist | 105 Sugar Camp Cir, Suite 200, Dayton, OH 45409-1962 | 2009-05-14 |
1255508321 | Ohio Eyecare Specialists Inc | Technician/Technologist | 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409-1962 | 2008-05-08 |
1003081613 | Ohio Eyecare Specialists, Inc | Technician/Technologist | 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409-1962 | 2008-04-24 |
1235274341 | Health Specialists of Dayton Inc | Ophthalmology | 105 Sugar Camp Cir, Dayton, OH 45409-1962 | 2007-02-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
Find all providers in zip 45409 |
Taxonomy Code | 156FX1100X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ophthalmic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700257953 | Lens & Frames Inc. | Technician/Technologist | 495 Georges Rd, Suite 2, Dayton, NJ 08810-2436 | 2015-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073889184 | Children's Eye Physicians | Technician/Technologist | 9302 Towne Square Ave, Blue Ash, OH 45242-6943 | 2012-03-23 |
1053547018 | Ronald H Krasney M D Inc | Technician/Technologist | 29001 Cedar Rd Ste 510, Lyndhurst, OH 44124-6501 | 2009-06-04 |
1548327927 | Ben Franklins Vision Center | Technician/Technologist | 8216 E Market St, Warren, OH 44484-2337 | 2007-01-03 |
1346245743 | John W Drury | Technician/Technologist | 2015 E Perkins Ave, Sandusky, OH 44870-5130 | 2005-06-14 |
1205839453 | Thomas B Brumley | Technician/Technologist | 3509 Briarfield Blvd, Maumee, OH 43537-9383 | 2005-05-23 |
1164723870 | R W Malek Md Inc | Technician/Technologist | 101 5th St Se, Suite K, Barberton, OH 44203-4259 | 2010-11-11 |
1669789517 | Mid Ohio Eye Outpatient Surgery Center | Technician/Technologist | 245 Taylor Station Rd, Columbus, OH 43213-4400 | 2010-09-13 |
1225278369 | Mary Jo Dupree | Technician/Technologist | 3100 Governors Place Blvd, Suite 100, Kettering, OH 45409-1334 | 2009-03-03 |
Please comment or provide details below to improve the information on MRS. LISA HEROLD.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.