Active NPI
Richard Henry Hatch, OD
- Optometrist
- Graham, NC
National Provider Identifier
1184658452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0734
- Practice address
- 2150 Crescent Dr
Graham, NC 27253-8522 - Phone
- (336) 578-4544
- Fax
- (336) 578-4544
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0734 | NC | MD | Psychologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0734 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2150 Crescent Dr
Graham, NC 27253-8522
Mailing address
2150 Crescent Dr
Graham, NC 27253-8522
Phone (336) 578-4544
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909384 | Medicaid | NC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2011.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1184658452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 CRESCENT DR",
"city": "GRAHAM",
"state": "NC",
"postal_code": "272538522",
"telephone_number": "336-578-4544",
"fax_number": "336-578-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 CRESCENT DR",
"city": "GRAHAM",
"state": "NC",
"postal_code": "272538522",
"telephone_number": "336-578-4544",
"fax_number": "336-578-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "RICHARD",
"middle_name": "HENRY",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "0734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909384",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Graham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.