Active NPI
Benjamin Allan Hartz, OD
- Optometrist
- Greenbelt, MD
National Provider Identifier
1821002387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0863
- Practice address
- 7551 Greenbelt Rd
Greenbelt, MD 20770-3403 - Phone
- (301) 807-1174
- Fax
- (301) 982-2300
- NPI assigned
- Jul 28, 2006
- Last updated
- Oct 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0512 | DC | |
| Optometrist | 152W00000X | TA0863 | MD | Primary |
Addresses
Primary practice location
7551 Greenbelt Rd
Greenbelt, MD 20770-3403
Mailing address
2811 Lord Baltimore Dr
Baltimore, MD 21244
Phone (443) 316-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0512 | DC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Spectera | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- College Park, MD
- NPI 1588680573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1821002387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 LORD BALTIMORE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21244",
"telephone_number": "443-316-2101",
"fax_number": "410-265-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7551 GREENBELT RD",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703403",
"telephone_number": "301-807-1174",
"fax_number": "301-982-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZ",
"first_name": "BENJAMIN",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "0512",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA0863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.