Organization Active NPI

Darrell W Hardin Inc

  • Customized Equipment (DME)
  • Willoughby, OH
National Provider Identifier
1316099641
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
25-0 Issued in OH
Legal business name
DARRELL W HARDIN INC
Doing business as
DARRELL W HARDIN INC
Practice address
34950 Chardon Rd
Suite 103
Willoughby, OH 44094-9162
Phone
(440) 269-1166
Fax
(440) 269-1184
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Cynthia Herak-Hardin
Title
Office Manager
Phone
(216) 346-8909

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OcularistGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1700X
AnaplastologistGroup: 193200000X MULTI-SPECIALTY GROUP 229N00000X
Customized Equipment (DME) 332BC3200X 25-0 OH Primary

Addresses

Primary practice location

34950 Chardon Rd
Suite 103
Willoughby, OH 44094-9162

Mailing address

34950 Chardon Rd
Suite 103
Willoughby, OH 44094-9162
Phone (440) 269-1166

Other names 1

  • DARRELL W HARDIN INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190513001873 OH DME Supplier - Ocularist 6800139924 Practice locations: Willoughby Hills, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Darrell W. Hardin Inc34950 Chardon Rd, Willoughby Hills, OH 44094-9162(440) 269-1166 Facial Prostheses|Ocular Prostheses Accepts assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory

Locations

34950 Chardon Rd
Ste 103
Willoughby Hills, OH 44094
Phone (440) 269-1166

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1316099641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD",
            "address_2": "SUITE 103",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-269-1166",
            "fax_number": "440-269-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD",
            "address_2": "SUITE 103",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-269-1166",
            "fax_number": "440-269-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRELL W HARDIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "HERAK-HARDIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "216-346-8909"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "229N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "25-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DARRELL W HARDIN INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.