NPIMap

Individual provider Active NPI

Randall Walter Hoerth, O.D.

  • Optometrist
  • Albertville, AL
National Provider Identifier
1164410387
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S370 TA048 Issued in AL
Practice address
200 S Hambrick St
Albertville, AL 35950-1624
Phone
(256) 878-3024
Fax
(256) 878-3049
NPI assigned
Oct 11, 2005
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S370 TA048 AL Primary

Addresses

Primary practice location

200 S Hambrick St
Albertville, AL 35950-1624

Mailing address

PO Box 860
Albertville, AL 35950-1624
Phone (256) 878-3024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S370 TA048ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Albertville, LLC Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1164410387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501624",
            "telephone_number": "256-878-3024",
            "fax_number": "256-878-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HAMBRICK ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501624",
            "telephone_number": "256-878-3024",
            "fax_number": "256-878-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERTH",
        "first_name": "RANDALL",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S370 TA048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.