Individual provider Active NPI

Mark A Hardacre, O.D.

  • Optometrist
  • Commerce City, CO
National Provider Identifier
1972792562
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2471 Issued in CO
Practice address
10821 Chambers Way
Commerce City, CO 80022-9596
Phone
(303) 953-0110
Fax
(303) 953-0110
NPI assigned
Oct 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2471 CO Primary

Addresses

Primary practice location

10821 Chambers Way
Commerce City, CO 80022-9596

Mailing address

10821 Chambers Way
Commerce City, CO 80022-9596
Phone (303) 953-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260623004447 CO Practitioner - Optometry 1254382443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10821 Chambers Way
Commerce City, CO 80022-9596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2471COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eyecare PC Optometrist PastSince Feb 4, 2005 Accepting new patients

Organizations & group practices 2

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": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1972792562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10821 CHAMBERS WAY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229596",
            "telephone_number": "303-953-0110",
            "fax_number": "303-953-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10821 CHAMBERS WAY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229596",
            "telephone_number": "303-953-0110",
            "fax_number": "303-953-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDACRE",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

Verify at the official NPI Registry.