Abigail Hartle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005453 Issued in MI

Practice address

3390 E Jolly Rd
Lansing, MI 48910-8547

Phone

(269) 342-1405

NPI assigned

Jun 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Abigail Maynard Former name

Medicare fee-for-service enrollment

Enrolled in MI

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Michigan Eye Care Center PCGroup PAC ID 4486566098, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mid Michigan Eye Care Center, PC

  • Ophthalmology Physician
  • Jackson, MI
  • NPI 1649275041

  Optometrist

  Medicare reassignment Care Compare group NPD
• Dewitt Optometry PC

  • Optometrist
  • Dewitt, MI
  • NPI 1649222423
  Medicare reassignment NPD
• Eye Care Associates of Charlotte PLLC

  • Optometrist
  • Charlotte, MI
  • NPI 1154481331
  Medicare reassignment NPD
• Aeg Michigan Professional LLC

  • Optometrist
  • Chesaning, MI
  • NPI 1053032912
  NPD

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1336766153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD STE H",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108547",
            "telephone_number": "269-342-1405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Lake Lansing Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489123752",
            "country_code": "US",
            "telephone_number": "866-435-8935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLE",
        "first_name": "ABIGAIL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "MAYNARD",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney J Hart, MD
• Marisa Marie Hart, DDS
• Michael Hart, LLMSW
• Ryan Hart, D.O.
• Stephanie Hart, MD
• Jason William Hartman, DDS
• Kenneth John Hartman, C.O.
• Caron Hartsuff, RN
• Derrick Durell Hartwell, LLMSW, CADC, CCS-D
• Mercedes Harvey, DO

• Optometrist in Lansing, MI
• Providers in Lansing, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.