NPIMap

Organization Active NPI

Hartman Vision Care LLC

  • Optometrist
  • Pueblo, CO
National Provider Identifier
1669742219
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT2783 Issued in CO
Legal business name
HARTMAN VISION CARE LLC
Practice address
4200 Dillon Dr
Pueblo, CO 81008-2113
Phone
(719) 696-0505
Fax
(719) 884-1319
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Joseph Hartman, OD
Title
Owner
Phone
(215) 715-5092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT2783 CO Primary

Addresses

Primary practice location

4200 Dillon Dr
Pueblo, CO 81008-2113

Mailing address

PO Box 7637
Pueblo West, CO 81007-0637
Phone (215) 715-5092

Other identifiers 1

IdentifierTypeStateIssuer
49876571MedicaidCO

National Provider Directory

National Provider Directory

Locations

4080 W Northern Ave
Pueblo, CO 81005
Phone (719) 551-7337

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1669742219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7637",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810070637",
            "telephone_number": "215-715-5092",
            "fax_number": "719-884-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 DILLON DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082113",
            "telephone_number": "719-696-0505",
            "fax_number": "719-884-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTMAN VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-715-5092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT2783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49876571",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.