Individual provider Active NPI

David Hardt, O.D.

  • Optometrist
  • Saipan, MP
National Provider Identifier
1437270295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5 Issued in MP
Practice address
Amparo Building, Beach Road
Saipan, MP 96950-4308
Phone
(670) 235-2030
Fax
(670) 235-2033
NPI assigned
Apr 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5 MP Primary

Addresses

Primary practice location

Amparo Building, Beach Road
Saipan, MP 96950-4308

Mailing address

PO Box 504768
Saipan, MP 96950-4308
Phone (670) 235-2030

Other identifiers 1

IdentifierTypeStateIssuer
3R-014MedicaidMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20040526000068 HI Practitioner - Optometry 4486543402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hardt Eye Clinic IncGroup PAC ID 7012998214, 2 clinicians

Practice addresses (Care Compare)

3066 Beach Rd
Amparo BLDG Chanlan Laulau VLG
Saipan, MP 96950-4768
Phone (670) 235-2030

PO Box
Saipan, MP 96950-4768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5MPMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardt Eye Clinic Inc CurrentSince Nov 10, 2003 Accepting new patients
Saipan Seventh-Day Adventist Clinic Optometrist PastSince Jan 1, 1990 Accepting new patients

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, 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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437270295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504768",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969504308",
            "telephone_number": "670-235-2030",
            "fax_number": "670-235-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMPARO BUILDING, BEACH ROAD",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969504308",
            "telephone_number": "670-235-2030",
            "fax_number": "670-235-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDT",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MP",
            "license": "5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3R-014",
            "state": "MP"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

Verify at the official NPI Registry.