Chase Harter, OD
Individual provider Active NPI Optometrist · Grove City, OH
NPI 1861986358 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1861986358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT.006934 (OH)
- Practice address
- 4140 Hoover Rd
Grove City, OH 43123-3625 - Phone
- (614) 801-2020
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180710001143 | AR | Practitioner - Optometry | 4082960885 | Reassigns benefits to 1 organization |
| I20210629003186 | OH | Practitioner - Optometry | 4082960885 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2773 | AR | MD | Optometrist |
| OPT.006934 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hertzog Family Eye Care PA | 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 Ohio, LLC | Optometrist | Current |
Accepting new patients |
| Hookway Eye Care Inc | Single Specialty | Past | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Past | Accepting new patients |
Locations
1004 S Pine St
Ste F
Cabot, AR 72023
Phone (501) 941-2222
140 John Harden Dr
Ste 6
Jacksonville, AR 72076
Phone (501) 985-2020
2200 Henderson Rd
Ste A
Columbus, OH 43220
Phone (614) 273-2020
1674 N Limestone St
Ste 140
Springfield, OH 45503
Phone (937) 399-4101
1674 N Limestone St
Springfield, OH 45503
Phone (937) 322-6411
8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2773 | AR | |
| Optometrist | 152W00000X | OPT.006934 | OH | Yes |
Addresses
Primary practice location
4140 Hoover Rd
Grove City, OH 43123-3625
Mailing address
4140 Hoover Rd
Grove City, OH 43123-3625
Phone (614) 801-2020
Other practice location 1
1004 S Pine St Ste F
Cabot, AR 72023-3864
Phone (501) 941-2222
Other practice location 2
320 W Walton St
Willard, OH 44890-9133
Phone (419) 933-2741
Other practice location 3
1674 N Limestone St Ste 140
Springfield, OH 45503-2652
Phone (937) 399-4101
Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.