Individual provider Active NPI

Hatidza Karajic

  • Optician
  • Staunton, VA
National Provider Identifier
1194546408
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101004046 Issued in VA
Practice address
1028 Richmond Ave
Staunton, VA 24401-4904
Phone
(540) 885-9610
NPI assigned
Oct 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1101004046 VA Primary

Addresses

Primary practice location

1028 Richmond Ave
Staunton, VA 24401-4904

Mailing address

1028 Richmond Ave
Staunton, VA 24401-4904
Phone (540) 885-9610

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1101004046VAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1194546408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 RICHMOND AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014904",
            "telephone_number": "540-885-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 RICHMOND AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014904",
            "telephone_number": "540-885-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAJIC",
        "first_name": "HATIDZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101004046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; 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.