Individual provider Active NPI

Craig P. Hartnagel, O.D. , P.C.

  • Optometrist
  • Jamestown, NY
National Provider Identifier
1376516948
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
RT005930-01 Issued in NY
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

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02503840MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060203000469 NY Practitioner - Optometry 9931113503 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RT005930-01NYMDOptometrist
005930NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Westfield Optical Studio LLC Optometrist PastSince Mar 15, 2007 Accepting new patients
Laser Eye Surgery of Erie, Inc PastSince Oct 21, 1998 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.

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

Verify at the official NPI Registry.