Individual provider Active NPI

Sally A Hartenstein, O.D.

  • Optometrist
  • Hampton, NH
National Provider Identifier
1356441729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
439 Issued in NH
Practice address
760 Lafayette Road
Hampton, NH 03842
Phone
(603) 926-5471
Fax
(603) 926-9546
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 439 NH Primary

Addresses

Primary practice location

760 Lafayette Road
Hampton, NH 03842

Mailing address

760 Lafayette Road
Hampton, NH 03842
Phone (603) 926-5471

Other identifiers 2

IdentifierTypeStateIssuer
00000352MedicaidNH
0906078Y0NH01OtherNHANTHEM

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080814000204 NH Practitioner - OptometryPractitioner - Other (Physician) 3577508035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Eyecare Associates, PLLCGroup PAC ID 7012088545, 4 clinicians

Practice addresses (Care Compare)

760 Lafayette Rd
Hampton, NH 03842-1247
Phone (603) 926-5471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
439NHMDMental Health Counselor
0439NHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Eyecare Associates, PLLC Optometrist CurrentSince May 20, 2008 Accepting new patients

Locations

760 Lafayette Rd
Hampton, NH 03842
Phone (603) 926-5471

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356441729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 LAFAYETTE ROAD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "03842",
            "telephone_number": "603-926-5471",
            "fax_number": "603-926-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 LAFAYETTE ROAD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "03842",
            "telephone_number": "603-926-5471",
            "fax_number": "603-926-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTENSTEIN",
        "first_name": "SALLY",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000352",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0906078Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

Verify at the official NPI Registry.