DR. SUSAN HERNDON (NPI# 1457459265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457459265 |
| Entity Type | Individual |
| Full Name | DR. SUSAN HERNDON |
| Credential | O.D. |
| Practice Address |
17 N Medical Park Dr Fishersville VA 22939-2344 |
| Practice Telephone | 5402137720 |
| Practice Fax Number | 5402137729 |
| Mailing Telephone | 5402137720 |
| Mailing Fax Number | 5402137729 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618000388 | VA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184997058 | Susan Herndon | Specialist/Technologist, Other | 21402 Meadowhill Dr, Spring, TX 77388-3345 | 2012-02-22 |
| 1114432812 | Susan C Herndon | Nurse Practitioner | 659 Hospital Rd, Tappahannock, VA 22560-7000 | 2017-12-05 |
| Street Address |
17 N MEDICAL PARK DR |
| City | FISHERSVILLE |
| State | VA |
| Zip Code | 22939-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031297 | Rachna Dinubhai Patel | Specialist | 17 N Medical Park Dr, Fishersville, VA 22939-2344 | 2005-05-24 |
| 1497931273 | Eye One, Plc | Durable Medical Equipment & Medical Supplies | 17 N Medical Park Dr, Fishersville, VA 22939-2344 | 2008-01-11 |
| 1588733125 | James Stuart Tiedeman | Ophthalmology | 17 N Medical Park Dr, Fishersville, VA 22939-2344 | 2006-11-07 |
| 1487748026 | Russel G Snodgrass | Technician/Technologist | 17 N Medical Park Dr, Fishersville, VA 22939-2344 | 2006-10-03 |
| 1265429328 | David Darnell Smith | Optometrist | 17 N Medical Park Dr, Fishersville, VA 22939-2344 | 2005-10-04 |
| 1720081797 | David Milton Barnes | Specialist | 17 N Medical Park Dr, Fishersville, VA 22939-2344 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956951 | Randy Groves | Physical Therapy Assistant | 84 Crossroads Lane, Fishersville, VA 22939 | 2018-06-19 |
| 1679081749 | Melissa Michelle Yniguez | Occupational Therapy Assistant | 83 Crossroad Lane, Fishersville, VA 22939 | 2018-01-11 |
| 1699126110 | Ashley Bigger | Physical Therapy Assistant | 83 Crossroad Ln, Fishersville, VA 22939 | 2016-06-27 |
| 1497146070 | Savola Aesthetic Dermatology Center Plc | Dermatology | 66 Parkway Lane, Suite 101, Fishersville, VA 22939 | 2015-02-18 |
| 1669813416 | Keith Harlow Wolford | Family Medicine | 1615 Jefferson Highway, Suite 108, Fishersville, VA 22939 | 2013-07-09 |
| 1588903041 | Ashanti Dawn Samuel | Student in an Organized Health Care Education/Training Program | 83 Crossroads Lane, Fishersville, VA 22939 | 2013-02-04 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| 1386979037 | Kyle J Becker | Pharmacist | 57 Beam Lane, Suite 300, Fishersville, VA 22939 | 2009-10-14 |
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| Find all providers in zip 22939 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982613576 | Eye One, Plc | Optometrist | 17 N. Medical Park Drive, Fishersville, VA 22939 | 2006-08-05 |
| 1265429328 | David Darnell Smith | Optometrist | 17 N Medical Park Dr, Fishersville, VA 22939-2344 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710124 | Ryan Henger | Optometrist | 12551 Jefferson Ave Ste 249, Newport News, VA 23602-4487 | 2020-11-04 |
| 1457977050 | Carl Brandon Myers | Optometrist | 8125 Timberlake Rd, Lynchburg, VA 24502-2607 | 2020-06-19 |
| 1942826565 | Kendall Shafran | Optometrist | 44365 Premier Plz Ste 210, Ashburn, VA 20147-5058 | 2020-06-19 |
| 1033733258 | Emily Scannell | Optometrist | 1560 Mall Dr, Norfolk, VA 23511-3806 | 2020-06-03 |
| 1962024711 | Nova Optique and Eyecare | Optometrist | 672 N Glebe Rd, Arlington, VA 22203-2161 | 2020-05-15 |
| 1891323101 | Sharpvue Eyecare Pllc | Optometrist | 15243 Forest Rd Ste E, Forest, VA 24551-4974 | 2020-03-31 |
| 1871123943 | Lois Hermann Phillips | Optometrist | 9 Gamebird Ct, Manakin Sabot, VA 23103 | 2020-01-17 |
| 1356991830 | Finpax | Optometrist | 11847 Aspengraf Ln Ste A, New Kent, VA 23124-2130 | 2019-09-16 |
| 1629627559 | Seth Gorman | Optometrist | 4501 S Laburnum Ave Ste 145, Richmond, VA 23231-2483 | 2019-09-04 |
| 1679121800 | George Z Ishak | Optometrist | 1871 Carl D Silver Pkwy Ste 1113, Fredericksburg, VA 22401-4969 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | FISHERSVILLE |
| Zip Code | 22939 |
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| 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.