Danny Larue Hartzog, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S377TA045 Issued in AL

Practice address

6 W College St
Clayton, AL 36016-5106

Phone

(334) 775-3295

Fax

(334) 775-8269

NPI assigned

Oct 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Danny L. Hartzog OD PC

  • Eyewear Supplier
  • Clayton, AL
  • NPI 1417125485
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669555033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "CLAYTON",
            "state": "AL",
            "postal_code": "360160519",
            "telephone_number": "334-775-3295",
            "fax_number": "334-775-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W COLLEGE ST",
            "city": "CLAYTON",
            "state": "AL",
            "postal_code": "360165106",
            "telephone_number": "334-775-3295",
            "fax_number": "334-775-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZOG",
        "first_name": "DANNY",
        "middle_name": "LARUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S377TA045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59440",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51059440",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Barbour Emergency Medical Service, Inc (Central Barbour EMS)
• Clayton Pharmacy LLC
• Russell E Cotton, PAC
• Danny L. Hartzog OD PC
• Anita Fenn, D.M.D.
• Faith Hatcher, CRNP
• Natalie Nicole Johnson- Lykes, APRN
• Tyler Kenneth Killingsworth
• Travis Neal Miers, Jr., DMD
• Christina Patterson, CRNP-C

• Optometrist in Clayton, AL
• Providers in Clayton, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.