Active NPI
Craig P Hartnagel O.D., P.C.
- Optometrist
- Jamestown, NY
National Provider Identifier
1891893095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T005930
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig P. Hartnagel, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02503840 | Medicaid | NY | |
| 1376516948 | Other | NPI TYPE 1 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Jamestown, NY
- NPI 1376516948
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.