JOHN C. HERSEY OD, PC
NPI 1770887002
Optometrist in Hermon, ME
About John C. Hersey Od, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN C. HERSEY OD, PC (NPI 1770887002) is a healthcare organization registered as an optometrist in Hermon, Maine and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists John C Hersey, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John C. Hersey Od, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to John C. Hersey Od, PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 20D2122108
John C Hersey Od PC · Hermon, MEFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John C. Hersey Od, PC's NPI number?
The NPI number for John C. Hersey Od, PC is 1770887002. It was assigned to this organization in the NPPES registry on December 30, 2010.
Where is John C. Hersey Od, PC located?
John C. Hersey Od, PC is located at 2350 Route 2, Hermon, ME 04401. The listed phone number is (207) 223-5555.
What is John C. Hersey Od, PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is John C. Hersey Od, PC enrolled in Medicare?
Yes. John C. Hersey Od, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John C. Hersey Od, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to John C. Hersey Od, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does John C. Hersey Od, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 20D2122108) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does John C. Hersey Od, PC accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 other insurers list John C. Hersey Od, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John C. Hersey Od, PC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John C. Hersey Od, Pc · NPI 1770887002
Optometrist organization in Hermon, Maine. Organization record, active in the CMS NPPES registry since December 30, 2010.
## Identity
- **NPI:** 1770887002 (Entity type: Organization)
- **Enumerated:** December 30, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** John Hersey, OPTOMETRIST
## Practice location
- **Address:** 2350 ROUTE 2, Hermon, ME 04401-0621
- **Phone:** (207) 223-5555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1770887002) · Data from the CMS NPPES public registry.