Organization Active NPI

Len D. Hart, P.C.

  • Optometrist
  • Collinsville, OK
National Provider Identifier
1710025697
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
981 Issued in OK
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

Updated by the provider on Apr 30, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100763740AMedicaidOK
1710025697OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Primary Eye Care Associates Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.