Individual provider Active NPI

Mary Hardy, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1417363698
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2003 Issued in AZ
Practice address
3404 W Cheryl Dr
#180
Phoenix, AZ 85051-9578
Phone
(602) 863-2223
Fax
(602) 863-0156
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2003 AZ Primary

Addresses

Primary practice location

3404 W Cheryl Dr
#180
Phoenix, AZ 85051-9578

Mailing address

3404 W Cheryl Dr
#180
Phoenix, AZ 85051-9578
Phone (602) 863-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150309000961 AZ Practitioner - Optometry 7517280738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Vision and Achievement Centers IncGroup PAC ID 8729064423, 2 clinicians

Practice addresses (Care Compare)

3404 W Cheryl Dr
Phoenix, AZ 85051-9500
Phone (602) 863-2223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1417363698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 W CHERYL DR",
            "address_2": "#180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519578",
            "telephone_number": "602-863-2223",
            "fax_number": "602-863-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W CHERYL DR",
            "address_2": "#180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519578",
            "telephone_number": "602-863-2223",
            "fax_number": "602-863-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.