Individual provider Active NPI

Dennis Whittier Hartman, O.D.

  • Optometrist
  • Merced, CA
National Provider Identifier
1922078294
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9253T Issued in CA
Practice address
580 Collins Dr
Merced, CA 95348-3121
Phone
(209) 383-0989
Fax
(209) 383-6836
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9253T CA Primary

Addresses

Primary practice location

580 Collins Dr
Merced, CA 95348-3121

Mailing address

580 Collins Dr
Merced, CA 95348-3121
Phone (209) 383-0989

Other identifiers 1

IdentifierTypeStateIssuer
9253TOtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090513000244 CA Practitioner - Optometry 2264506443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth R Grossman M D IncGroup PAC ID 6507813169, 2 clinicians

Practice addresses (Care Compare)

580 Collins Dr
Merced, CA 95348-3121
Phone (209) 383-0989

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9253TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth R Grossman MD Inc CurrentSince Dec 13, 2022 Accepting new patients
Curt Andre OD Incorporated Optometrist CurrentSince Jan 1, 2007 Accepting new patients
Dignity Health PastSince Dec 13, 2022 Accepting new patients

Locations

580 Collins Dr
Merced, CA 95348
Phone (209) 383-0989

711 E Hawkeye Ave
Ste 1
Turlock, CA 95380
Phone (209) 632-2411

Organizations & group practices 3

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1922078294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COLLINS DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483121",
            "telephone_number": "209-383-0989",
            "fax_number": "209-383-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COLLINS DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483121",
            "telephone_number": "209-383-0989",
            "fax_number": "209-383-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "DENNIS",
        "middle_name": "WHITTIER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9253T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9253T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.