Organization Active NPI

Brenda C. Hart, O.D., P.a.

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1104324813
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2601 Issued in FL
Legal business name
BRENDA C. HART, O.D., P.A.
Practice address
14290 Metropolis Ave Ste 2
Fort Myers, FL 33912-4534
Phone
(239) 561-0679
NPI assigned
Jan 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Dr. Brenda C. Hart, OD
Title
President
Phone
(239) 561-0679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2601 FL Primary

Addresses

Primary practice location

14290 Metropolis Ave Ste 2
Fort Myers, FL 33912-4534

Mailing address

12631 Strathmore Loop
Fort Myers, FL 33912-4693
Phone (239) 561-0679

Other names 1

  • Hart Eye Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1104324813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 STRATHMORE LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124693",
            "telephone_number": "239-561-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14290 METROPOLIS AVE STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124534",
            "telephone_number": "239-561-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA C. HART, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-28",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-561-0679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hart Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.