Active NPI
Hart Family Eyecare, LLC
- Optometrist
- West Plains, MO
National Provider Identifier
1689845323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2006018277
- Legal business name
- HART FAMILY EYECARE, LLC
- Practice address
- 808 N Kentucky Ave
West Plains, MO 65775-2023 - Phone
- (417) 255-2010
- NPI assigned
- Mar 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie A Hart, O.D.
- Title
- Owner
- Phone
- (417) 255-2010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2006018277 | MO | Primary |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 2006018277 | MO |
Addresses
Primary practice location
808 N Kentucky Ave
West Plains, MO 65775-2023
Mailing address
808 N Kentucky Ave
West Plains, MO 65775-2023
Phone (417) 255-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507025401 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1410 Doctors Dr
West Plains, MO 65775
Phone (417) 255-2010
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- West Plains, MO
- NPI 1932328994
-
- Optometrist
- West Plains, MO
- NPI 1669268447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346976000000",
"number": "1689845323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 N KENTUCKY AVE",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657752023",
"telephone_number": "417-255-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 N KENTUCKY AVE",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657752023",
"telephone_number": "417-255-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HART FAMILY EYECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-21",
"last_updated": "2012-09-07",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-255-2010",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "2006018277",
"primary": true
},
{
"code": "152WL0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "MO",
"license": "2006018277",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507025401",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.