Individual provider Active NPI

Aaron Max Hartman, OD

  • Optometrist
  • Roy, UT
National Provider Identifier
1922258375
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7059136-9934 Issued in UT
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1780785238MedicaidUT
U000009923OtherUTMEDICARE PTAN STORE #15
000009430OtherUTMEDICARE STORE #9 PTAN
1396832655MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000183 UT Practitioner - Optometry 3870651664 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron M Hartman OD PC Optometrist CurrentSince Feb 7, 2013 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.

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

Verify at the official NPI Registry.