Individual provider Active NPI

Howard R Hartzell III, OD

  • Optometrist
  • York, PA
National Provider Identifier
1437128683
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001116 Issued in PA
Practice address
309 Leaders Heights Rd
York, PA 17402-5024
Phone
(717) 747-5430
Fax
(717) 747-5230
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001116 PA Primary
Optometrist 152W00000X TA0952 MD

Addresses

Primary practice location

309 Leaders Heights Rd
York, PA 17402-5024

Mailing address

309 Leaders Heights Rd
York, PA 17402-5024
Phone (717) 747-5430

Other identifiers 10

IdentifierTypeStateIssuer
001269000MedicaidPA
0082845000OtherPAINDEPENDENCE BLUE CROSS
50045687OtherPACAPITAL BLUE CROSS
POO218215OtherPARAILROAD MEDICARE
0012690000004MedicaidPA
1308JCOtherMDCAREFIRST BCBS PPO
T274 0003OtherMDCAREFIRST BCBS HMO
HA136628OtherPAHIGHMARK BLUE SHIELD
T274 0003OtherMDCAREFIRST BLUE CHOICE
50045687OtherPAKEYSTONE HPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050321000296 PA Practitioner - Optometry 8426003807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey R. Lander, M.D., LLCGroup PAC ID 7113902099, 2 clinicians

Practice addresses (Care Compare)

309 Leader Heights Rd
York, PA 17402-5024
Phone (717) 747-5430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA0952MDMDOptometrist
OEG001116PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey R. Lander, M.D., LLC Optometrist CurrentSince Mar 24, 2012 Accepting new patients
John C Baer MD LLC PastSince Jun 1, 2003 Accepting new patients
Family Eye Group, P.C. Optometrist Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

309 Leaders Heights Rd
York, PA 17402
Phone (717) 747-5430

Interoperability endpoints

  • Direct secure messaging: howardhartzell@direct-address.net

Organizations & group practices 4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1437128683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 LEADERS HEIGHTS RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174025024",
            "telephone_number": "717-747-5430",
            "fax_number": "717-747-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LEADERS HEIGHTS RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174025024",
            "telephone_number": "717-747-5430",
            "fax_number": "717-747-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZELL",
        "first_name": "HOWARD",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001116",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0952",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001269000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0082845000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50045687",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "POO218215",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012690000004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS PPO",
            "identifier": "1308JC",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS HMO",
            "identifier": "T274 0003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "HA136628",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE",
            "identifier": "T274 0003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HPC",
            "identifier": "50045687",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.