Active NPI
Paul Arthur Hardy Jr., LDO
- Optician
- Simpsonville, SC
National Provider Identifier
1629669676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 943
- Practice address
- 412 Aschoff CT
Simpsonville, SC 29680-7921 - Phone
- (864) 918-0639
- NPI assigned
- Feb 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 943 | SC | |
| Optician | 156FX1800X | 943 | SC | Primary |
Addresses
Primary practice location
412 Aschoff CT
Simpsonville, SC 29680-7921
Mailing address
412 Aschoff CT
Simpsonville, SC 29680-7921
Phone (864) 918-0639
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.provision2go.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 943 | SC | MD | Eyewear Supplier |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1629669676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 ASCHOFF CT",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807921",
"telephone_number": "864-918-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 ASCHOFF CT",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807921",
"telephone_number": "864-918-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "PAUL",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "SC",
"license": "943",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "943",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.provision2go.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "412 Aschoff Ct",
"city": "Simpsonville",
"state": "SC",
"country_code": "US",
"postal_code": "296807921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.