| Doctor Name: | DR. NANCY L HERROLD |
| NPI Number: | 1760474647 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | OEG002151 |
| Business Practice Address: | 5100 Board Road Mount Wolf, PA - 173479559 |
| Business Phone Number: | 7172666602 |
| Business Fax Number: | 7172660843 |
| Mailing Address: | 5100 Board Road, MOUNT WOLF |
| State: | PA |
| Postal Code: | 173479559 |
| Phone Number: | 7172666602 |
| Fax Number: | 7172660843 |
| NPI Enumeration Date: | 08/17/2005 |
| NPI Last Update Date: | 01/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | OEG002151 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |