Organization Active NPI

Hart Hart & Associates OD PA

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1720267453
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC00002601 Issued in FL
Legal business name
HART HART & ASSOCIATES OD PA
Practice address
4600 Summerlin Rd Ste C4
Fort Myers, FL 33919-3003
Phone
(239) 936-2121
Fax
(239) 936-7225
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Brenda Hart, O.D.NPI 1003918442
Title
Secrectary/Optometrist
Phone
(239) 936-2121

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC00002601 FL Primary

Addresses

Primary practice location

4600 Summerlin Rd Ste C4
Fort Myers, FL 33919-3003

Mailing address

4600 Summerlin Rd Ste C4
Fort Myers, FL 33919-3003
Phone (239) 936-2121

Other identifiers 1

IdentifierTypeStateIssuer
086874400MedicaidFL

National Provider Directory

National Provider Directory

Locations

4600 Summerlin Rd
Ste C4
Fort Myers, FL 33919
Phone (239) 936-2121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1720267453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SUMMERLIN RD STE C4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193003",
            "telephone_number": "239-936-2121",
            "fax_number": "239-936-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SUMMERLIN RD STE C4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193003",
            "telephone_number": "239-936-2121",
            "fax_number": "239-936-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HART HART & ASSOCIATES OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "SECRECTARY/OPTOMETRIST",
        "authorized_official_telephone_number": "239-936-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC00002601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086874400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.