Hackworth Family Eye Care, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1620 Issued in KS

Legal business name

HACKWORTH FAMILY EYE CARE, PA

Practice address

508 Cherokee St
Leavenworth, KS 66048-2626

Phone

(913) 682-2020

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

Kimberly Hackworth, O.D.

Title

President

Phone

(913) 687-0032

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1992948905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 BRADSHAW ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161429",
            "telephone_number": "913-687-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CHEROKEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482626",
            "telephone_number": "913-682-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKWORTH FAMILY EYE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "HACKWORTH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-687-0032",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latitia Ann Guthals, FNP-C
• Ciera Danielle Gutierrez
• Amber D. Guzman, PSYD
• Robert Haas, D.O.
• Fariz Habib, MD
• Siamak Haghnegahdar, M.D.
• Carter Anthony Hale
• Diane B. Hall, MA
• Elizabeth Anna Hall, LCPC, LCAC
• Hannah Guidance Hall

• Optometrist in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.