Active NPI
David Andrew Hartzog, OD
- Optometrist
- Enterprise, AL
National Provider Identifier
1417730987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-F28-TA-D11
- Practice address
- 805 E Lee St Ste B
Enterprise, AL 36330-2477 - Phone
- (334) 347-6599
- Fax
- (334) 417-0190
- NPI assigned
- Aug 17, 2023
- 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 | S-F28-TA-D11 | AL | Primary |
Addresses
Primary practice location
805 E Lee St Ste B
Enterprise, AL 36330-2477
Mailing address
31878 Antioch Rd
Andalusia, AL 36421-5912
Phone (334) 343-2473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
805 E Lee St
Suite B
Enterprise, AL 36330-2477
Phone (334) 347-6599
847 W Bypass
Suite D
Andalusia, AL 36420-4747
Phone (334) 222-8561
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James L Barton LLC | Optometrist | Current | Accepting new patients |
Locations
847 W Bypass
Ste D
Andalusia, AL 36420
Phone (334) 222-8561
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Dothan, AL
- NPI 1902837453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1417730987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31878 ANTIOCH RD",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364215912",
"telephone_number": "334-343-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E LEE ST STE B",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302477",
"telephone_number": "334-347-6599",
"fax_number": "334-417-0190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZOG",
"first_name": "DAVID",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-17",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AL",
"license": "S-F28-TA-D11",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.