Active NPI
Jeffrey M Hartman, O.D.
- Optometrist
- Liberty Township, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4712/T1501
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000122758 | Other | ANTHEM | |
| 4712 | Other | HUMANA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4712 | OH | MD | Clinical Psychologist |
| 4712/T1501 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.