Individual provider Active NPI

Raymond F Hardy, O.D.

  • Optometrist
  • Bend, OR
National Provider Identifier
1265623706
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3224AT Issued in OR
Practice address
1250 NE 3Rd St
Suite B-100
Bend, OR 97701-3106
Phone
(541) 382-0103
Fax
(541) 385-6851
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3224AT OR Primary

Addresses

Primary practice location

1250 NE 3Rd St
Suite B-100
Bend, OR 97701-3106

Mailing address

1250 NE 3Rd St
Suite B-100
Bend, OR 97701-3106
Phone (541) 382-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090619000051 OR Practitioner - Optometry 9638220346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1250 NE 3Rd St
Bend, OR 97701-3151
Phone (541) 382-0103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3224ORMDClinical Social Worker
3224ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
RFH Optometric, LLC Optometrist CurrentSince Mar 22, 2009 Accepting new patients

Locations

1250 NE 3rd St
Ste B100
Bend, OR 97701
Phone (541) 317-1700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1265623706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NE 3RD ST",
            "address_2": "SUITE B-100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013106",
            "telephone_number": "541-382-0103",
            "fax_number": "541-385-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NE 3RD ST",
            "address_2": "SUITE B-100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013106",
            "telephone_number": "541-382-0103",
            "fax_number": "541-385-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "RAYMOND",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3224AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.