Individual provider Active NPI

Jill Marie Hart, O.D.

  • Optometrist
  • Tea, SD
National Provider Identifier
1871623074
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
600 Issued in SD
Practice address
725 E Figzel CT Ste 101
Tea, SD 57064-2276
Phone
(605) 498-0427
Fax
(605) 498-0246
NPI assigned
Mar 6, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 600 SD Primary

Addresses

Primary practice location

725 E Figzel CT Ste 101
Tea, SD 57064-2276

Mailing address

310 8TH Ave NW
Aberdeen, SD 57401-2365
Phone (605) 225-2020

Other identifiers 1

IdentifierTypeStateIssuer
9203710MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20040524000190 SD Practitioner - Optometry 4587557061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dakota Eyecare LLPGroup PAC ID 9436131802, 5 clinicians

Practice addresses (Care Compare)

640 E Sioux Ave
Suite 3
Pierre, SD 57501-3300
Phone (605) 224-6128

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
71.39
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
600SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dakota Eyecare, LLP Optometrist CurrentSince Mar 18, 2008 Accepting new patients
TKC Optical, Inc. Past Accepting new patients
Vision Care Associates, LLP Optometrist PastSince Feb 24, 2016 Accepting new patients
TKC Optical Past Accepting new patients

Locations

640 E Sioux Ave
Pierre, SD 57501
Phone (605) 224-2010

640 E Sioux Ave
Ste 3
Pierre, SD 57501
Phone (605) 224-6128

Interoperability endpoints

  • Direct secure messaging: jhart@cde.eyefinity-direct.com

Organizations & group practices 4

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1871623074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 8TH AVE NW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012365",
            "telephone_number": "605-225-2020",
            "fax_number": "605-725-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E FIGZEL CT STE 101",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642276",
            "telephone_number": "605-498-0427",
            "fax_number": "605-498-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203710",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tea, SD

Sources for this page

Verify at the official NPI Registry.