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General NPI Number Information
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NPI Number | 1932893567
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Entity Type | Individual
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Provider Name | CHAD ANDREW HERSCHBERGER OD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 5091 W BETHEL AVE STE 150
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City | MUNCIE
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State | IN
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Zip | 47304-8511
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Country | US
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Telephone | 317-841-2020
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Fax | 317-579-7440
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Provider Business Mailing Address
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Address Line | 9202 N MERIDIAN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1800
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Country | US
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Telephone | 317-841-2020
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Fax | 317-579-7440
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18004417A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2351DT
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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