Active NPI
Aaron Max Hartman, OD
- Optometrist
- Roy, UT
National Provider Identifier
1922258375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7059136-9934
- Practice address
- 5421 S 19TH W
Roy, UT 84067 - Phone
- (801) 825-9703
- Fax
- (801) 825-5349
- NPI assigned
- Sep 23, 2008
- Last updated
- Mar 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7059136-9934 | UT | Primary |
Addresses
Primary practice location
5421 S 19TH W
Roy, UT 84067
Mailing address
751 W Highway 40
Vernal, UT 84078-2427
Phone (801) 886-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780785238 | Medicaid | UT | |
| U000009923 | Other | UT | MEDICARE PTAN STORE #15 |
| 000009430 | Other | UT | MEDICARE STORE #9 PTAN |
| 1396832655 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
751 W Hwy 40
Vernal, UT 84078-2427
Phone (801) 678-7955
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaron M Hartman OD PC | Optometrist | Current | Accepting new patients |
| Mt Ogden Eye Center LLC | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
Locations
751 W Highway 40
Vernal, UT 84078
Phone (435) 789-3931
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Utah Eye Centers
- Ophthalmology Physician
- Ogden, UT
- NPI 1700927043
Optometrist
-
- Optometrist
- Provo, UT
- NPI 1891882155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1922258375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 W HIGHWAY 40",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782427",
"telephone_number": "801-886-2020",
"fax_number": "801-954-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5421 S 19TH W",
"city": "ROY",
"state": "UT",
"postal_code": "84067",
"telephone_number": "801-825-9703",
"fax_number": "801-825-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "AARON",
"middle_name": "MAX",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "7059136-9934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780785238",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN STORE #15",
"identifier": "U000009923",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE STORE #9 PTAN",
"identifier": "000009430",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396832655",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.