Nicholas Jon Hardgrave, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2733 Issued in OK

Practice address

36TH Medical Group-Andersen AFB Clinic/Optometry
Unit 14010
Apo, AP 96543-4003

Phone

(671) 366-6749

NPI assigned

Feb 22, 2012

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holdenville Eye Center PLLCGroup PAC ID 6305143009, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.42 of 100Reported as group

Quality

60.84

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicholas.hardgrave@direct.revolutionehr.com

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

• Holdenville Eye Center PLLC

  • Optometrist
  • Holdenville, OK
  • NPI 1558734970
  Medicare reassignment Care Compare group NPD
• Henryetta Eye Center

  • Optometrist
  • Henryetta, OK
  • NPI 1174727622
  Medicare reassignment NPD

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1285907139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290702",
            "city": "YIGO",
            "state": "GU",
            "postal_code": "969293041",
            "telephone_number": "671-486-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "36TH MEDICAL GROUP-ANDERSEN AFB CLINIC/OPTOMETRY",
            "address_2": "UNIT 14010",
            "city": "APO",
            "state": "AP",
            "postal_code": "965434003",
            "telephone_number": "671-366-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDGRAVE",
        "first_name": "NICHOLAS",
        "middle_name": "JON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.