Individual provider Active NPI

Robert Joseph Hartsock Jr., O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1013003474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE-007169-T Issued in PA
Practice address
1000 Robinson Center Dr
Sears Optical
Pittsburgh, PA 15205-4828
Phone
(412) 490-0988
Fax
(412) 494-9759
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE-007169-T PA Primary
Optometrist 152W00000X 0601001706 VA

Addresses

Primary practice location

1000 Robinson Center Dr
Sears Optical
Pittsburgh, PA 15205-4828

Mailing address

101 Camden CT
Pittsburgh, PA 15237-2331
Phone (412) 398-5565

Other identifiers 3

IdentifierTypeStateIssuer
01798635MedicaidPA
696201HAOtherPABLUE CROSS/BLUE SHIELD
397125OtherPANATIONAL VISION ADMINISTR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313002382 PA Practitioner - Optometry 7416297205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE-007169-TPAMDOptometrist
0601001706VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vision Care LLC Optometrist CurrentSince Feb 2, 2019 Accepting new patients

Locations

681 McMurray Rd
Bethel Park, PA 15102
Phone (412) 835-7474

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013003474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMDEN CT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372331",
            "telephone_number": "412-398-5565",
            "fax_number": "412-494-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROBINSON CENTER DR",
            "address_2": "SEARS OPTICAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054828",
            "telephone_number": "412-490-0988",
            "fax_number": "412-494-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSOCK",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE-007169-T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01798635",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "696201HA",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "397125",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.