Individual provider Active NPI

Karl Cameron Engelhart, OD

  • Optometrist
  • Concord, NH
National Provider Identifier
1033766647
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1002 Issued in NH
Practice address
153 Manchester St
Concord, NH 03301-5142
Phone
(603) 226-0855
Fax
(603) 226-0981
NPI assigned
Aug 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1002 NH Primary
Optometrist 152W00000X OPT1018 ME

Addresses

Primary practice location

153 Manchester St
Concord, NH 03301-5142

Mailing address

153 Manchester St
Concord, NH 03301-5142
Phone (603) 226-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20191024002141 NH Practitioner - Optometry 4880926831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Vision Center PCGroup PAC ID 1052320660, 7 clinicians

Practice addresses (Care Compare)

153 Manchester St
Concord, NH 03301-5142
Phone (603) 226-0855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1018MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Vision Center PC Optometrist CurrentSince Jul 7, 2022 Accepting new patients
Cornerstone Periodontics and Implants PLLC CurrentSince Jul 7, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karle@visionsource-cvc.emadirect.md

Organizations & group practices 2

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1033766647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MANCHESTER ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015142",
            "telephone_number": "603-226-0855",
            "fax_number": "603-226-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MANCHESTER ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015142",
            "telephone_number": "603-226-0855",
            "fax_number": "603-226-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHART",
        "first_name": "KARL",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1002",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.