Dr. Mike Lockhart, Jr. & Associates, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. MIKE LOCKHART, JR. & ASSOCIATES, INC.

Practice address

915 Lincoln Way E
Massillon, OH 44646-6833

Phone

(330) 833-1091

Fax

(330) 833-1092

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Michael Lockhart Jr., O.D.NPI 1073572806

Title

Optometrist Owner

Phone

(330) 833-1091

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Lockhart OD Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Lockhart Jr., OD

  • Optometrist
  • Massillon, OH
  • NPI 1073572806
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1073744017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 MELSCHEIMER RD SW",
            "city": "EAST SPARTA",
            "state": "OH",
            "postal_code": "446269752",
            "telephone_number": "330-833-1091",
            "fax_number": "330-833-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446466833",
            "telephone_number": "330-833-1091",
            "fax_number": "330-833-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MIKE LOCKHART, JR. & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "330-833-1091",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2642439",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Lockhart OD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Massillon, OH
• Providers in Massillon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.