Provider Demographics
NPI:1770558835
Name:MEYERS, HERBERT (OD)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:
Last Name:MEYERS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8019
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01102-8000
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:329 CONWAY ST
Practice Address - Street 2:GREENFIELD HEALTH CENTER
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1526
Practice Address - Country:US
Practice Address - Phone:413-774-6301
Practice Address - Fax:413-774-6528
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2262152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0317632Medicaid
MAW15246OtherBLUE CROSS BLUE SHIELD
MA14428OtherHEALTH NEW ENGLAND
MAMA2262OtherEYEMED VISION CARE
MA123374OtherFALLON COMMUNITY HEALTH PLAN
MA690209OtherTUFTS HEALTH PLAN
MA3952594OtherAETNA/USHEALTHCARE
MAAA46112OtherHARVARD PILGRIM HEALTHCAR
MA767089OtherCONNECTICARE
MAW15246OtherBLUE CROSS BLUE SHIELD
MA767089OtherCONNECTICARE