James W Hartzell OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1540 Issued in IA

Legal business name

JAMES W HARTZELL OD PC

Practice address

2628 Beaver Ave
Des Moines, IA 50310-3908

Phone

(515) 274-4141

Fax

(515) 274-4144

NPI assigned

Dec 1, 2009

Organization subpart

No

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

Authorized official

Name

Deborah J Hartzell, MBA

Title

Business Manager

Phone

(515) 274-4141

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1215265368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 BEAVER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103908",
            "telephone_number": "515-274-4141",
            "fax_number": "515-274-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 BEAVER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103908",
            "telephone_number": "515-274-4141",
            "fax_number": "515-274-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W HARTZELL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "HARTZELL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "515-274-4141",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028324",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.