Individual provider Active NPI

Elizabeth Hardin, OD

  • Optometrist
  • Dayton, OH
National Provider Identifier
1831255207
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5041 Issued in OH
Practice address
2319 Miamisburg Centerville Rd
Dayton, OH 45459-3773
Phone
(937) 435-0315
NPI assigned
Dec 29, 2006
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5041 OH Primary

Addresses

Primary practice location

2319 Miamisburg Centerville Rd
Dayton, OH 45459-3773

Mailing address

383 Clear Springs CT
Carlisle, OH 45005-7322
Phone (513) 504-2415

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
I20051025000429 OH Practitioner - Optometry 3476570946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

2319 Miamisburg Centerville Rd
Dayton, OH 45459-3773
Phone (937) 435-0315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5041OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist Current Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Aug 19, 2019 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Cincinnati Eye Care Team LLC Optometrist PastSince Aug 1, 2019 Accepting new patients

Locations

1650 S Union Ave
Alliance, OH 44601
Phone (330) 630-9699

3951 W Franklin St
Bellbrook, OH 45305
Phone (937) 848-6601

3951 W Franklin St
Ste 3
Bellbrook, OH 45305
Phone (937) 848-6601

2319 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (937) 435-0315

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

Interoperability endpoints

  • Direct secure messaging: elizabethhardin@direct.eyecare-partners.com

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1831255207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CLEAR SPRINGS CT",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450057322",
            "telephone_number": "513-504-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 MIAMISBURG CENTERVILLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593773",
            "telephone_number": "937-435-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.