Active NPI
Russell W. Hart, OD
- Optometrist
- McPherson, KS
National Provider Identifier
1043369150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1396-3
- Legal business name
- RUSSELL W. HART, OD
- Practice address
- 205 S Centennial Dr
Suite a
McPherson, KS 67460-4012 - Phone
- (620) 245-9921
- Fax
- (785) 539-2021
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russell W Hart, OD
- Title
- Owner
- Phone
- (620) 245-9921
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1396-3 | KS | Primary |
Addresses
Primary practice location
205 S Centennial Dr
Suite a
McPherson, KS 67460-4012
Mailing address
732 Brierwood Dr
Manhattan, KS 66502-3130
Phone (785) 587-8752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651142 | Other | KS | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
205 S Centennial Dr
Ste A
McPherson, KS 67460
Phone (316) 655-6029
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fort Riley, KS
- NPI 1851386379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043369150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 BRIERWOOD DR",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665023130",
"telephone_number": "785-587-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S CENTENNIAL DR",
"address_2": "SUITE A",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "674604012",
"telephone_number": "620-245-9921",
"fax_number": "785-539-2021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSELL W. HART, OD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "620-245-9921",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "KS",
"license": "1396-3",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "651142",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McPherson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.