Tania Coy Gardiner Hassard, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT863 Issued in ME

Practice address

30 Main St
Fairfield, ME 04937-1120

Phone

(207) 453-6811

NPI assigned

Apr 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tania Coy Gardiner Professional name

Medicare fee-for-service enrollment

Enrolled in ME

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

Southern California College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1295953743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049371120",
            "telephone_number": "207-453-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049371120",
            "telephone_number": "207-453-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER HASSARD",
        "first_name": "TANIA",
        "middle_name": "COY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT863",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR4842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "GARDINER",
            "middle_name": "COY",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eastern Maine Homecare
• El Rancho de la Vida
• Fairfield Family Practice
• Fairfield Pharmacy
• Roderick A Forrey, PA-C
• Jessy Matthew Garrett, PTA
• Jennifer L Giroux, OTA/L
• Tracey S Glinko, DDS
• Kelsey Jean Gwazdosky, RN, BSN
• Jessica Lee Gyles, RN

• Optometrist in Fairfield, ME
• Providers in Fairfield, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.