K. Delton Hartzog, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S357TA046 Issued in AL

Legal business name

K. DELTON HARTZOG, O.D.

Practice address

249 S 6TH St
Gadsden, AL 35901-4102

Phone

(256) 546-4647

Fax

(256) 546-4272

NPI assigned

Feb 26, 2008

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Delton Hartzog, O.D.NPI 1710063953

Title

Owner

Phone

(256) 546-4647

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Delton Hartzog, OD

  • Optometrist
  • Gadsden, AL
  • NPI 1710063953
  Authorized official Same address or phone

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1952570756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S 6TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014102",
            "telephone_number": "256-546-4647",
            "fax_number": "256-546-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S 6TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014102",
            "telephone_number": "256-546-4647",
            "fax_number": "256-546-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. DELTON HARTZOG, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "HARTZOG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DELTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-546-4647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S357TA046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.