Justin Hart, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1160 Issued in NV

Practice address

3195 Saint Rose Pkwy Ste 100
Henderson, NV 89052-3509

Phone

(702) 634-2020

NPI assigned

Jun 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Optic Gallery the District LLCGroup PAC ID 6204124209, 4 clinicians

Optic Gallery Seven Hills LLCGroup PAC ID 9537383260, 4 clinicians

Hanna Professional LLCGroup PAC ID 4385177021, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hanna Professional LLC

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1831918150

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Optic Gallery Seven Hills LLC

  • Optometrist
  • Henderson, NV
  • NPI 1730516691
  Medicare reassignment Care Compare group NPD
• Optic Gallery the District LLC

  • Optometrist
  • Henderson, NV
  • NPI 1376097600
  Medicare reassignment Care Compare group
• Perozek Professional Corporation

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1881748283

  Single Specialty

  NPD
• Dr Stephanie P Lee Corporation

  • Optometrist
  • Henderson, NV
  • NPI 1447479845
  NPD (past)
• Faccinto and Mayer Eye Care P.C.

  • Optometrist
  • Henderson, NV
  • NPI 1003930462
  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1093409682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523509",
            "telephone_number": "702-634-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 Village Walk Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525689",
            "country_code": "US",
            "telephone_number": "702-871-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "JUSTIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olimpia Harrison, BS, HUMAN SERVICES
• Sierra Nicole Harrison
• Cheyenne Harry
• Amber Hart
• David M Hart, M.D.
• Darryl Hartfield
• Donald Carson Hartlieb, M.D.
• Allyson Hartman, COTA/L
• Katherine Lorraine Hartman
• Nicole Marie Hartmann, PA-C

• Optometrist in Henderson, NV
• Providers in Henderson, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.