Ad Astra Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AD ASTRA OPTOMETRY LLC

Practice address

301 E 2ND St
The Dalles, OR 97058-2107

Phone

(541) 769-1150

NPI assigned

Oct 27, 2020

Organization subpart

No

Name

Dr. Jenessa L Hartman, ODNPI 1366704611

Title

Owner

Phone

(541) 370-1437

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenessa Leigh Hartman, O.D.

  • Optometrist
  • The Dalles, OR
  • NPI 1366704611
  Medicare reassignment NPD Authorized official
• Dale H Bricker, O.D.

  • Optometrist
  • The Dalles, OR
  • NPI 1013082148
  NPD

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

• Sunflower Vision Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2022.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1306446513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 2ND ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582107",
            "telephone_number": "541-769-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 2ND ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582107",
            "telephone_number": "541-769-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD ASTRA OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JENESSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-370-1437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunflower Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1918 Winter Street Operating Co LLC
• Alana Carol Davison Abel, OTD, OTR/L
• Hayley Louise Abel, APNP, CPNP-PC
• Kimberly Ables
• Manar Aboul-Nour, LPC
• Erin McHale Adams, PT
• Jessica Marie Adams
• Michelle Adams, RDH
• Jennifer D. Adkins, CADC, LCSW,
• Maria Yesenia Aguilar-Robles

• All providers in The Dalles, OR
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.