JUAN MARTIN HERRERA (OD) – Optometrist, NPI 1891410403

JUAN MARTIN HERRERA (OD) is a healthcare provider. based in Mesa, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 61429597 (WA). The NPI Number for JUAN MARTIN HERRERA (OD) is 1891410403

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JUAN MARTIN HERRERA (OD)
NPI
1891410403
Phone
(509) 282-0320
Address
70 ESTELLA DR
Enumeration Date
5 October 2022
Last Update Date
22 May 2024

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5099259873
Graduation Year
2023 (3 years ago)
PAC ID
7517319296
Group Practice PAC ID
7719313790
Professional Enrollment ID
I20240118000836
Address ID
WA989262938EL707XXSTXX401

Contacts

Other Endpoint
herr3480@pacificu.edu
Secure Messaging
drherrera@valleyeyeandvision.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

1,098 OPTOMETRY in WA

Provider Addresses for JUAN MARTIN HERRERA (OD)

  • 70 ESTELLA DR

    MESA, WA 993439521

    Phone: (509) 282-0320

    Type: Mailing

  • 845 E 3RD AVE STE 11

    MOSES LAKE, WA 988375902

    Phone: (509) 766-1880

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240118000836IOptometryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99343)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719313790View full group profile
NameSpecialtyState
-WA
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

How do I look up JUAN MARTIN HERRERA (OD) by NPI?
Use NPI 1891410403 when you need to reference JUAN MARTIN HERRERA (OD) in forms, claims, or directories.
Is JUAN MARTIN HERRERA (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JUAN MARTIN HERRERA (OD) list a primary specialty?
If you are matching referrals, note Optometrist for JUAN MARTIN HERRERA (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for JUAN MARTIN HERRERA (OD)?
The page summarizes Mesa, Washington for JUAN MARTIN HERRERA (OD); expand the address list for detail.
How can I contact JUAN MARTIN HERRERA (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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