Organization Active NPI

Kenneth W. Hardy O.D., Inc.

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1205872736
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8242T Issued in CA
Legal business name
KENNETH W. HARDY O.D., INC.
Practice address
19126 Magnolia St
Suite 105
Huntington Beach, CA 92646-2235
Phone
(714) 962-6601
Fax
(714) 965-0943
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Dr. Kenneth William Hardy, O.D.
Title
President
Phone
(714) 962-6601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8242T CA Primary

Addresses

Primary practice location

19126 Magnolia St
Suite 105
Huntington Beach, CA 92646-2235

Mailing address

19126 Magnolia St
Suite 105
Huntington Beach, CA 92646-2235
Phone (714) 962-6601

National Provider Directory

National Provider Directory

Locations

19030 Brookhurst St
Huntington Beach, CA 92646
Phone (714) 962-6601

19126 Magnolia St
Ste 105
Huntington Beach, CA 92646
Phone (714) 926-6601

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1205872736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19126 MAGNOLIA ST",
            "address_2": "SUITE 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462235",
            "telephone_number": "714-962-6601",
            "fax_number": "714-965-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19126 MAGNOLIA ST",
            "address_2": "SUITE 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462235",
            "telephone_number": "714-962-6601",
            "fax_number": "714-965-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W. HARDY O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-962-6601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8242T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.