Richard Alexander Hartwell, OD
Individual provider Active NPI Optometrist · Sturbridge, MA
NPI 1679525968 · NPPES record last updated Mar 10, 2011
Key facts
- NPI
- 1679525968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3891 (MA)
- Practice address
- 110 Charlton Rd
Suite 2
Sturbridge, MA 01566-1538 - Phone
- (508) 347-3300
- Fax
- (508) 347-6303
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3891 | MA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3891 | MA | Yes |
Addresses
Primary practice location
110 Charlton Rd
Suite 2
Sturbridge, MA 01566-1538
Mailing address
110 Charlton Rd
Suite 2
Sturbridge, MA 01566-1538
Phone (508) 347-3300
Other providers in Sturbridge, MA
- Graceful Resilience Counseling & Community Services LLC
- Graceful Resilience Counseling & Community Services, LLC
- Paula Anne Grandpre Wood I
- Christopher Groves
- Delaney Hanrahan
- Healthy Concept Family Practice, LLC
- Audra D Hensel
- Heritage Home Health Care, LLC
- Sara Hibbard
- David Houle
All providers in Sturbridge, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.