Active NPI
Hart Hart & Associates OD PA
- Optometrist
- Fort Myers, FL
National Provider Identifier
1720267453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC00002601
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brenda Hart, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086874400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Fort Myers, FL
- NPI 1003918442
-
- Optometrist
- Sault Sainte Marie, MI
- NPI 1396772422
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.