Glen Woodford Hart II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4479T Issued in TX

Practice address

226 Richmond Ranch Rd
Texarkana, TX 75503-1083

Phone

(903) 831-5974

Fax

(903) 838-9558

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982782439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 RICHMOND RANCH RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031083",
            "telephone_number": "903-831-5974",
            "fax_number": "903-838-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 RICHMOND RANCH RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031083",
            "telephone_number": "903-831-5974",
            "fax_number": "903-838-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "GLEN",
        "middle_name": "WOODFORD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4479T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rae Harrell, MS., CCC-SLP
• Jo Sarah Harrell, SLP
• John J Harris, M.D.
• Samantha Lee Harris, APRN
• John Benjamin Harrison, APRN
• Cynthia Hash
• Mary Laura Hastings, DMD
• Hatel Sanjay Patel PA
• Savannah Layne Terry Hatfield, COTA
• Allen V Havener, MD

• Optometrist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.