NPIMap

Organization Active NPI

Dr Larry Hartung

  • Optometrist
  • N Eastham, MA
National Provider Identifier
1346411196
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2981 Issued in MA
Legal business name
DR LARRY HARTUNG
Practice address
55 Oak Rd
N Eastham, MA 02651-1950
Phone
(508) 255-0480
NPI assigned
Mar 20, 2008
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Larry Hartung, ODNPI 1679557037
Title
Owner
Phone
(508) 255-0480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2981 MA Primary

Addresses

Primary practice location

55 Oak Rd
N Eastham, MA 02651-1950

Mailing address

55 Oak Rd
N Eastham, MA 02651-1950
Phone (508) 255-0480

Other identifiers 1

IdentifierTypeStateIssuer
0349402MedicaidMA

National Provider Directory

National Provider Directory

Locations

55 Oak Rd
Eastham, MA 02642
Phone (508) 255-0480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1346411196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OAK RD",
            "city": "N EASTHAM",
            "state": "MA",
            "postal_code": "026511950",
            "telephone_number": "508-255-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OAK RD",
            "city": "N EASTHAM",
            "state": "MA",
            "postal_code": "026511950",
            "telephone_number": "508-255-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LARRY HARTUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "HARTUNG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-255-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349402",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.