Active NPI
Len D. Hart, P.C.
- Optometrist
- Collinsville, OK
National Provider Identifier
1710025697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 981
- Legal business name
- LEN D. HART, P.C.
- Practice address
- 1103 W Center St
Collinsville, OK 74021-3108 - Phone
- (918) 371-3339
- Fax
- (918) 371-9600
- NPI assigned
- Feb 2, 2007
- 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
- Dr. Len D. Hart, O.D.
- Title
- Owner
- Phone
- (918) 371-3339
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 981 | OK | Primary |
Addresses
Primary practice location
1103 W Center St
Collinsville, OK 74021-3108
Mailing address
PO Box 640
Collinsville, OK 74021-0640
Phone (918) 371-3339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100763740A | Medicaid | OK | |
| 1710025697 | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Primary Eye Care Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1710025697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740210640",
"telephone_number": "918-371-3339",
"fax_number": "918-371-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 W CENTER ST",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740213108",
"telephone_number": "918-371-3339",
"fax_number": "918-371-9600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEN D. HART, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "LEN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-371-3339",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OK",
"license": "981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100763740A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1710025697",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Primary Eye Care Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Collinsville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.