Organization Active NPI

Mark H. Harder OD

Doing business as Mark Harder Optometry

  • Optometrist
  • Modesto, CA
National Provider Identifier
1093955965
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA07481T Issued in CA
Legal business name
MARK H. HARDER OD
Doing business as
Mark Harder Optometry
Practice address
501 E Orangeburg Ave Ste B
Modesto, CA 95350-5578
Phone
(209) 596-4360
Fax
(209) 566-0685
NPI assigned
Mar 4, 2009
Last updated
Oct 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Dr. Mark H. Harder, ODNPI 1093787459
Title
Optometrist
Phone
(209) 596-4360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA07481T CA Primary

Addresses

Primary practice location

501 E Orangeburg Ave Ste B
Modesto, CA 95350-5578

Mailing address

501 E Orangeburg Ave Ste B
Modesto, CA 95350-5578
Phone (209) 596-4360

Other names 1

  • MARK HARDER OPTOMETRY Doing business as

National Provider Directory

National Provider Directory

Locations

501 E Orangeburg Ave
Ste B
Modesto, CA 95350
Phone (209) 526-9883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1093955965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E ORANGEBURG AVE STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505578",
            "telephone_number": "209-596-4360",
            "fax_number": "209-566-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E ORANGEBURG AVE STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505578",
            "telephone_number": "209-596-4360",
            "fax_number": "209-566-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H. HARDER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "209-596-4360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA07481T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARK HARDER OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARK HARDER OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.