Active NPI
Ted Harden OD PLLC
- Clinic/Center
- Hattiesburg, MS
National Provider Identifier
1780837682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 786
- Legal business name
- TED HARDEN OD PLLC
- Practice address
- 5901 U S Highway 49
Hattiesburg, MS 39402-2858 - Phone
- (601) 268-6698
- NPI assigned
- Oct 23, 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
- Dr. Ted Gene Harden, OD
- Title
- Optometrist
- Phone
- (601) 268-6698
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 786 | MS | Primary |
Addresses
Primary practice location
5901 U S Highway 49
Hattiesburg, MS 39402-2858
Mailing address
110 Longwood Terrace
Hattiesburg, MS 39402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3901 Hardy St
Hattiesburg, MS 39402
5901 U S Highway 49
Hattiesburg, MS 39402
Phone (601) 268-6698
820 S 28th Ave
Hattiesburg, MS 39402
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
- Petal, MS
- NPI 1396939542
-
- Optometrist
- Biloxi, MS
- NPI 1508949355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1780837682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LONGWOOD TERRACE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "39402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 U S HIGHWAY 49",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394022858",
"telephone_number": "601-268-6698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TED HARDEN OD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "HARDEN",
"authorized_official_first_name": "TED",
"authorized_official_middle_name": "GENE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "601-268-6698",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MS",
"license": "786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.