Healthcare Provider Details

I. General information

NPI: 1669736799
Provider Name (Legal Business Name): NADINE F HERMANN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2012
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 SILVER BIRCH LN
BEAR DE
19701-2385
US

IV. Provider business mailing address

211 SILVER BIRCH LN
BEAR DE
19701-2385
US

V. Phone/Fax

Practice location:
  • Phone: 302-376-6523
  • Fax:
Mailing address:
  • Phone: 908-642-0366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG002601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OM00106700
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberI3-001426
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00639600
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV007830-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: