Active NPI
Craig P. Hartnagel, O.D. , P.C.
- Optometrist
- Jamestown, NY
National Provider Identifier
1376516948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- RT005930-01
- Practice address
- 1676 Foote Avenue Ext
Jamestown, NY 14701-9385 - Phone
- (716) 488-2700
- Fax
- (716) 488-2702
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | RT005930-01 | NY | Primary |
Addresses
Primary practice location
1676 Foote Avenue Ext
Jamestown, NY 14701-9385
Mailing address
1676 Foote Avenue Ext
Jamestown, NY 14701-9385
Phone (716) 488-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02503840 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1676 Foote Ave Ext
Jamestown, NY 14701-9385
Phone (716) 488-2700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT005930-01 | NY | MD | Optometrist |
| 005930 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westfield Optical Studio LLC | Optometrist | Past | Accepting new patients |
| Laser Eye Surgery of Erie, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Jamestown, NY
- NPI 1891893095
-
- Optometrist
- Westfield, NY
- NPI 1093775892
-
- Ophthalmology Physician
- Erie, PA
- NPI 1588751713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743206400000",
"number": "1376516948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1676 FOOTE AVENUE EXT",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147019385",
"telephone_number": "716-488-2700",
"fax_number": "716-488-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1676 FOOTE AVENUE EXT",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147019385",
"telephone_number": "716-488-2700",
"fax_number": "716-488-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTNAGEL",
"first_name": "CRAIG",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "O.D. , P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2025-03-29",
"certification_date": "2025-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "RT005930-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02503840",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.