Individual provider Active NPI

Nathan Thomas Hatridge, O.D.

  • Optometrist
  • Cypress, TX
National Provider Identifier
1871935551
Registry record updated Jul 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8240TG Issued in TX
Practice address
26321 Northwest Fwy
Suite 500
Cypress, TX 77429-5758
Phone
(281) 758-0008
Fax
(888) 256-6602
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8240TG TX Primary

Addresses

Primary practice location

26321 Northwest Fwy
Suite 500
Cypress, TX 77429-5758

Mailing address

26321 Northwest Fwy
Suite 500
Cypress, TX 77429-5758
Phone (281) 758-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141119001027 TX Practitioner - Optometry 8628290061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHN Vision PAGroup PAC ID 1951474410, 3 clinicians

Practice addresses (Care Compare)

26321 Northwest Fwy 500
Cypress, TX 77429-5764
Phone (281) 758-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8240TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
LHN Vision PA Optometrist CurrentSince Jun 25, 2014 Accepting new patients

Locations

26321 Northwest Fwy
Ste 500
Cypress, TX 77429
Phone (281) 758-0008

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406419200000",
    "number": "1871935551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26321 NORTHWEST FWY",
            "address_2": "SUITE 500",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295758",
            "telephone_number": "281-758-0008",
            "fax_number": "888-256-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26321 NORTHWEST FWY",
            "address_2": "SUITE 500",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295758",
            "telephone_number": "281-758-0008",
            "fax_number": "888-256-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATRIDGE",
        "first_name": "NATHAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2014-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8240TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.