Active NPI
Michelle Hardin
- Optometrist
- Atoka, OK
National Provider Identifier
1124060371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OK2244
- Practice address
- 902 W 13TH St
Atoka, OK 74525-3425 - Phone
- (580) 889-9500
- Fax
- (580) 889-9500
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- 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 | OK2244 | OK | Primary |
Addresses
Primary practice location
902 W 13TH St
Atoka, OK 74525-3425
Mailing address
902 W 13TH St
Atoka, OK 74525-3425
Phone (580) 889-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100766210A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101028001006 | OK | Practitioner - Optometry | 3577671387 | Practice locations: Atoka, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
820 W 13TH St
Atoka, OK 74525-3426
Phone (580) 889-9500
902 W 13TH St
Atoka, OK 74525-3425
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 58 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OK2244 | OK | MD | Optometrist |
| 2244 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1124060371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 W 13TH ST",
"city": "ATOKA",
"state": "OK",
"postal_code": "745253425",
"telephone_number": "580-889-9500",
"fax_number": "580-889-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 W 13TH ST",
"city": "ATOKA",
"state": "OK",
"postal_code": "745253425",
"telephone_number": "580-889-9500",
"fax_number": "580-889-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIN",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "OK2244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100766210A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.
- 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.