Active NPI
Todd Jeffrey Harter, O.D.
- Optometrist
- Santa Rosa, CA
National Provider Identifier
1063573673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7809T
- Practice address
- 2451 Summerfield Rd
Santa Rosa, CA 95405-7815 - Phone
- (707) 526-4050
- Fax
- (707) 569-1366
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7809T | CA | Primary |
Addresses
Primary practice location
2451 Summerfield Rd
Santa Rosa, CA 95405-7815
Mailing address
2451 Summerfield Rd
Santa Rosa, CA 95405-7815
Phone (707) 526-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7309 | CA | MD | Social Worker |
| 7809T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley J Sandler MD Inc | Current | Accepting new patients | |
| Bradley J Sandler MD Inc | Optometrist | Current | Accepting new patients |
Locations
1345 Gateway Blvd
Fairfield, CA 94533
Phone (707) 422-6500
1360 Burton Dr
Ste 150
Vacaville, CA 95687
Phone (707) 422-6500
Interoperability endpoints
- tharter@directaddress.net
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.
-
- Optometrist
- Vacaville, CA
- NPI 1669885661
-
- Ophthalmologic Surgery Clinic/Center
- Fairfield, CA
- NPI 1740710425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1063573673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 SUMMERFIELD RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057815",
"telephone_number": "707-526-4050",
"fax_number": "707-569-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 SUMMERFIELD RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057815",
"telephone_number": "707-526-4050",
"fax_number": "707-569-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTER",
"first_name": "TODD",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7809T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.