Individual provider Active NPI

Richard Henry Hatch, OD

  • Optometrist
  • Graham, NC
National Provider Identifier
1184658452
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0734 Issued in NC
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

LicenseStateTypeSpecialty
0734NCMDPsychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0734 NC Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
8909384MedicaidNC

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.

Verify at the official NPI Registry.