Individual provider Active NPI

Jeffrey M Hartman, O.D.

  • Optometrist
  • Liberty Township, OH
National Provider Identifier
1790894384
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4712/T1501 Issued in OH
Practice address
7334 Yankee Road
Liberty Township, OH 45044-2803
Phone
(513) 759-9464
Fax
(513) 759-2536
NPI assigned
Aug 29, 2006
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4712/T1501 OH Primary

Addresses

Primary practice location

7334 Yankee Road
Liberty Township, OH 45044-2803

Mailing address

7334 Yankee Road
Liberty Township, OH 45044-2803
Phone (513) 759-9464

Other identifiers 2

IdentifierTypeStateIssuer
000000122758OtherANTHEM
4712OtherHUMANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000826 OH Practitioner - Optometry 4789790239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

7334 Yankee Rd
Liberty Township, OH 45044-9168
Phone (513) 759-9464

8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4712OHMDClinical Psychologist
4712/T1501OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Wing Eyecare, Inc. Optometrist Past Accepting new patients

Locations

12094 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 774-0999

1351 E Kemper Rd
Cincinnati, OH 45246
Phone (513) 771-9800

5303 Glenway Ave
Cincinnati, OH 45238
Phone (513) 921-8040

8315 Beechmont Ave
Ste 33
Cincinnati, OH 45255
Phone (513) 474-4444

8340 Colerain Ave
Cincinnati, OH 45239
Phone (513) 245-9099

768 NW Washington Blvd
Hamilton, OH 45013
Phone (513) 893-8816

7334 Yankee Rd
Liberty Township, OH 45044
Phone (513) 759-9464

3625 Rigby Rd
Miamisburg, OH 45342
Phone (937) 247-2000

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1790894384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7334 YANKEE ROAD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450442803",
            "telephone_number": "513-759-9464",
            "fax_number": "513-759-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7334 YANKEE ROAD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450442803",
            "telephone_number": "513-759-9464",
            "fax_number": "513-759-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4712/T1501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000122758",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "4712",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

Verify at the official NPI Registry.