Provider Demographics
NPI:1205028388
Name:HERRERA, ERICKA VANESSA (OD)
Entity Type:Individual
Prefix:DR
First Name:ERICKA
Middle Name:VANESSA
Last Name:HERRERA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10521 N KENDALL DR
Mailing Address - Street 2:SUITE E103
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1599
Mailing Address - Country:US
Mailing Address - Phone:305-450-8123
Mailing Address - Fax:305-279-3746
Practice Address - Street 1:10521 N KENDALL DR STE E103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1554
Practice Address - Country:US
Practice Address - Phone:305-450-8123
Practice Address - Fax:305-279-3746
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4227152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist