Active NPI
David L. Hartzok, O.D.
- Optometrist
- Chambersburg, PA
National Provider Identifier
1558374090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000140
- Practice address
- 71 Brumbaugh Ave
Chambersburg, PA 17201-2803 - Phone
- (717) 264-7225
- Fax
- (717) 264-8637
- NPI assigned
- Aug 15, 2006
- Last updated
- May 2, 2008
- 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 | OEG000140 | PA | Primary |
Addresses
Primary practice location
71 Brumbaugh Ave
Chambersburg, PA 17201-2803
Mailing address
71 Brumbaugh Ave
Chambersburg, PA 17201-2803
Phone (717) 264-7225
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080709000612 | PA | Practitioner - Optometry | 8022180900 | Practice locations: Chambersburg, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1558374090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 BRUMBAUGH AVE",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012803",
"telephone_number": "717-264-7225",
"fax_number": "717-264-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 BRUMBAUGH AVE",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012803",
"telephone_number": "717-264-7225",
"fax_number": "717-264-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZOK",
"first_name": "DAVID",
"middle_name": "L.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.