Organization Active NPI

Craig P Hartnagel O.D., P.C.

  • Optometrist
  • Jamestown, NY
National Provider Identifier
1891893095
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005930 Issued in NY
Legal business name
CRAIG P HARTNAGEL O.D., P.C.
Practice address
1676 Foote Avenue Ext
Jamestown, NY 14701-9385
Phone
(716) 488-2700
Fax
(716) 488-2702
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Dr. Craig P. Hartnagel, ODNPI 1376516948
Title
President
Phone
(716) 488-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T005930 NY Primary

Addresses

Primary practice location

1676 Foote Avenue Ext
Jamestown, NY 14701-9385

Mailing address

1676 Foote Avenue Ext
Jamestown, NY 14701-9385
Phone (716) 488-2700

Other identifiers 2

IdentifierTypeStateIssuer
02503840MedicaidNY
1376516948OtherNPI TYPE 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061016000510 NY Part B Supplier - Clinic/Group Practice 9335145267 Receives reassigned benefits from 1 practitioner
Practice locations: Jamestown, NY

National Provider Directory

National Provider Directory

Locations

1676 Foote Avenue Ext
Jamestown, NY 14701
Phone (716) 488-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1891893095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 FOOTE AVENUE EXT",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019385",
            "telephone_number": "716-488-2700",
            "fax_number": "716-488-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 FOOTE AVENUE EXT",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019385",
            "telephone_number": "716-488-2700",
            "fax_number": "716-488-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG P HARTNAGEL O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "HARTNAGEL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-488-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02503840",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1376516948",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.