Individual provider Active NPI

Marc S Hartig, O.D.

  • Optometrist
  • Grove City, OH
National Provider Identifier
1063515252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4647 Issued in OH
Practice address
4140 Hoover Rd
Grove City, OH 43123-3625
Phone
(614) 801-2020
Fax
(614) 801-0001
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4647 OH Primary

Addresses

Primary practice location

4140 Hoover Rd
Grove City, OH 43123-3625

Mailing address

4140 Hoover Rd
Grove City, OH 43123-3625
Phone (614) 801-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061215000018 OH Practitioner - Optometry 9436183803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Eyecare, LLCGroup PAC ID 8527092998, 2 clinicians

Practice addresses (Care Compare)

4140 Hoover Rd
Grove City, OH 43123-3625
Phone (614) 801-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4647OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Eyecare, LLC Optometrist CurrentSince Aug 16, 1999 Accepting new patients
Moses & Mouser, M.D.'S, Inc. Past Accepting new patients

Locations

4140 Hoover Rd
Grove City, OH 43123
Phone (614) 801-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063515252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233625",
            "telephone_number": "614-801-2020",
            "fax_number": "614-801-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233625",
            "telephone_number": "614-801-2020",
            "fax_number": "614-801-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTIG",
        "first_name": "MARC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.